JOHN A KAWA
Physician Assistant


Address: 198 Daniel Brown Dr, Mystic, CT 06355-1659

JOHN A KAWA (Credential# 1028049) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JOHN A KAWA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002664. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 198 Daniel Brown Dr, Mystic, CT 06355-1659. The current status is active.

Basic Information

Licensee Name JOHN A KAWA
Credential ID 1028049
Credential Number 23.002664
Credential Type Physician Assistant
Business Address 198 Daniel Brown Dr
Mystic
CT 06355-1659
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-10-04
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1045223 CSP.0051813 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-03-29 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 198 DANIEL BROWN DR
City MYSTIC
State CT
Zip Code 06355-1659

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City MYSTIC
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License Type Physician Assistant
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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