RYAN C DAVIS (Credential# 1312179) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
RYAN C DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003466. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 111 Woodland Drive, Cromwell, CT 06416. The current status is active.
| Licensee Name | RYAN C DAVIS |
| Credential ID | 1312179 |
| Credential Number | 23.003466 |
| Credential Type | Physician Assistant |
| Business Address |
111 Woodland Drive Cromwell CT 06416 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-29 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1318910 | CSP.0061704 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-10-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 449558 | RES.0783307 | REAL ESTATE SALESPERSON | 2006-09-26 | 2008-06-01 - 2009-05-31 | INACTIVE |
| Street Address | 111 Woodland Drive |
| City | Cromwell |
| State | CT |
| Zip Code | 06416 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | Cromwell |
| Zip Code | 06416 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Cromwell |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tio Livingston | 254 Davis St, Hamden, CT 06517-3603 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Marine Kazaryan | 6 Davis Ave Apt A22, Rye, NY 10580-4166 | Physician Assistant | 2016-12-21 ~ 2017-05-31 |
| Emily Ryan | 15 Sandra Dr, Branford, CT 06405-6137 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Ryan F Makuck Pa-c | 37 Pinnacle Rd, Ellington, CT 06029-3513 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| James J Ryan | P.o. Box 525, Pine Plains, NY 12567 | Physician Assistant | 2003-03-03 ~ 2004-02-29 |
| Lucas Ryan Pa | 37 Red Mills Rd, Mahopac, NY 10541 | Physician Assistant | 2004-08-23 ~ 2005-10-31 |
| Richard S Cassa Pa | 248 Davis Rd, Fairfield, CT 06825-2636 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kevin F Ryan | 12 Walker Road, Ware, MA 01082 | Physician Assistant | 1997-08-22 ~ 1998-09-30 |
| Ryan Maringola | 6 Fieldstone Cmns Ste D, Tolland, CT 06084-3419 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Ryan M O'gowan Pa-c | 18 White Ave, East Longmeadow, MA 01028-2432 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
Please comment or provide details below to improve the information on RYAN C DAVIS.
| 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).