BENJAMIN T HOUSTON (Credential# 1315002) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2016. The license expiration date date is November 30, 2017. The license status is INACTIVE.
BENJAMIN T HOUSTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003493. The credential type is physician assistant. The effective date is December 1, 2016. The expiration date is November 30, 2017. The business address is 69 Oakleaf Dr, Waterbury, CT 06708-3632. The current status is inactive.
| Licensee Name | BENJAMIN T HOUSTON |
| Credential ID | 1315002 |
| Credential Number | 23.003493 |
| Credential Type | Physician Assistant |
| Business Address |
69 Oakleaf Dr Waterbury CT 06708-3632 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-12-15 |
| Effective Date | 2016-12-01 |
| Expiration Date | 2017-11-30 |
| Refresh Date | 2018-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1325329 | CSP.0061866 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-12-16 | 2015-12-16 - 2017-02-28 | INACTIVE |
| Street Address | 69 OAKLEAF DR |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3632 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin Hoffman | 4424 W Sam Houston Pkwy N, Houston, TX 77041-8243 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Jennifer M Jones | 5656 Kelley St, Houston, TX 77026-1967 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
| Lamar B Edwards Pa-c | 8607 Country Brook Ct, Houston, TX 77095-5192 | Physician Assistant | 2016-03-01 ~ 2017-02-28 |
| Jennifer Waterman Parrish | 5207 Larkin St, Houston, TX 77007 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
| Christina Bianchi | 2121 Allen Pkwy Apt 3012, Houston, TX 77019-2447 | Physician Assistant | 2020-05-01 ~ 2021-05-31 |
| Benjamin W Dodson | 552 Wallingford Road, Lancaster, PA 17601 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Benjamin T Gilbert | 290 N Hudson Ave Apt 308e, Pasadena, CA 91101-4429 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
| Jerry A Benjamin | 54 Warwick St, West Hartford, CT 06119 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Benjamin A Wetstone | 26 Calvin Rd, West Hartford, CT 06110-2110 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Marc Benjamin | 40 Glen Hollow, West Hartford, CT 06117-2224 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BENJAMIN T HOUSTON.
| 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).