TIMOTHY W STILWELL (Credential# 1230681) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 15, 2014. The license expiration date date is September 30, 2015. The license status is INACTIVE.
TIMOTHY W STILWELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003181. The credential type is physician assistant. The effective date is September 15, 2014. The expiration date is September 30, 2015. The business address is 4819 State Route 228, Trumansburg, NY 14886-9662. The current status is inactive.
| Licensee Name | TIMOTHY W STILWELL |
| Credential ID | 1230681 |
| Credential Number | 23.003181 |
| Credential Type | Physician Assistant |
| Business Address |
4819 State Route 228 Trumansburg NY 14886-9662 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-09-15 |
| Effective Date | 2014-09-15 |
| Expiration Date | 2015-09-30 |
| Refresh Date | 2016-01-06 |
| Street Address | 4819 STATE ROUTE 228 |
| City | TRUMANSBURG |
| State | NY |
| Zip Code | 14886-9662 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Franklin D Vanvolkinburg | 19 Bradley St-pob 156, Trumansburg, NY 14886 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
| Matthew J Drew | 4279 Lower Covert Rd, Trumansburg, NY 14886-9305 | Tv & Radio Limited Dish Antenna Technician | 2010-09-08 ~ 2011-08-31 |
| City | TRUMANSBURG |
| Zip Code | 14886 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + TRUMANSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Footstools By Stilwell | N5293 Conroy Dr, Spooner, WI 54801 | Manufacturer of Bedding & Upholstered Furniture | 2007-05-01 ~ 2008-04-30 |
| Timothy Gug | 38 Volunteer Ln Apt 3e, Greenwich, CT 06830-5462 | Physician Assistant | 2014-11-03 ~ 2015-11-30 |
| Timothy R Cook | 28 Augusta Dr, Milford, CT 06461-1683 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Timothy Zack Day | 915 Main St Apt 602, Hartford, CT 06103 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Timothy E. August | 27 Libbies Ln, Waynesville, NC 28786-9311 | Physician Assistant | 2013-05-22 ~ 2014-04-30 |
| Timothy A Wright | 42 Warren Street, Cheshire, CT 06410 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Timothy B Lassiter | 3 Gulliver Circle, Norwich, CT 06360 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Timothy K Burnham | 229 Pelican Drive, Groton, CT 06340 | Physician Assistant | 2000-10-13 ~ 2001-11-30 |
| Timothy Williams Burnap | 105 Sleepy Hollow Ln, Wakefield, RI 02879-4528 | Physician Assistant | 2016-09-19 ~ 2017-04-30 |
| Timothy J Devries Pa | New Britain General Hospital, New Britain, CT 06050 | Physician Assistant | 1997-12-23 ~ 1998-11-30 |
Please comment or provide details below to improve the information on TIMOTHY W STILWELL.
| 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).