COURTNEY R WHITTLE (Credential# 1146482) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
COURTNEY R WHITTLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002882. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 73 Perry Rd, Bristol, CT 06010-7812. The current status is active.
| Licensee Name | COURTNEY R WHITTLE |
| Credential ID | 1146482 |
| Credential Number | 23.002882 |
| Credential Type | Physician Assistant |
| Business Address |
73 Perry Rd Bristol CT 06010-7812 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-03-13 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1154986 | CSP.0054399 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 73 PERRY RD |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-7812 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Albert W Dance | 73 Perry Rd, Bristol, CT 06010 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin D Coolbeth | 69 Perry Rd, Bristol, CT 06010-7812 | Occupational Therapist Assistant | 2015-04-16 ~ 2015-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Courtney C Whittle | 513 S Dodson Rd Apt Y7, Rogers, AR 72758-7326 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
| Christopher Whittle · Whittle's Construction | 229 Blood Street, Lyme, CT 06371-3210 | Home Improvement Contractor | 2013-12-12 ~ 2014-11-30 |
| Steven J Whittle · Whittle's Art Dept | 629 Morehouse Road, Easton, CT 06612 | Home Improvement Contractor | 2014-12-11 ~ 2015-11-30 |
| Courtney Sherman | 18 John Ct., Randolph, NJ 07869 | Physician Assistant | 2004-01-28 ~ 2004-09-30 |
| Courtney Christine Marquardt | 1 Dicardee Dr, Enfield, CT 06082-1905 | Physician Assistant | ~ |
| Courtney Adair Chenault | 110 Lismore Ave, Glenside, PA 19038-4011 | Physician Assistant | ~ |
| Courtney Wagner Peerless | 52 Charlesgate E Apt 155, Boston, MA 02215-3624 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
| Courtney Elizabeth Peck | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Courtney R Hollingsworth | 428 Country Walk, Amherst, OH 44001-2635 | Physician Assistant | 2016-10-01 ~ 2017-09-30 |
Please comment or provide details below to improve the information on COURTNEY R WHITTLE.
| 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).