TIMOTHY WILLIAMS BURNAP (Credential# 1370759) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 19, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
TIMOTHY WILLIAMS BURNAP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003678. The credential type is physician assistant. The effective date is September 19, 2016. The expiration date is April 30, 2017. The business address is 105 Sleepy Hollow Ln, Wakefield, RI 02879-4528. The current status is inactive.
| Licensee Name | TIMOTHY WILLIAMS BURNAP |
| Credential ID | 1370759 |
| Credential Number | 23.003678 |
| Credential Type | Physician Assistant |
| Business Address |
105 Sleepy Hollow Ln Wakefield RI 02879-4528 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-09-19 |
| Effective Date | 2016-09-19 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| Street Address | 105 SLEEPY HOLLOW LN |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-4528 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha A Franco | 7 Watch Hill Way, South Kingstown, RI 02879 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jamie Lynne Vangieri | 13 Pier Marketplace, Narragansett, RI 02879 | Real Estate Salesperson | 2020-06-13 ~ 2021-05-31 |
| John P Walsh | 285 Iacuele Dr, S Kingstown, RI 02879 | Architect | 2020-08-01 ~ 2021-07-31 |
| John E Blair | 42 Emerson Way, South Kingstown, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Brian Mcdonald | 51c Old Shannock Rd, South Kingstown, RI 02879 | Real Estate Salesperson | 2019-10-09 ~ 2020-05-31 |
| Alexander Mcgovern Champagne | 51a Old Shannock Rd., South Kingstown, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bruce E Thunberg | 501 Matunuck School House Rd, Wakefield, RI 02879 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ruth Chappell Meeks | 60e Chappell Road, Wakefield, RI 02879 | Registered Nurse | 2020-05-27 ~ 2020-11-30 |
| Kristin E Schwab | 61 Matunuck School House Road, Wakefield, RI 02879 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Nima Behazin | 4959 Tower Hill Rd, Wakefield, RI 02879 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 02879 | |||
| City | WAKEFIELD |
| Zip Code | 02879 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WAKEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Gug | 38 Volunteer Ln Apt 3e, Greenwich, CT 06830-5462 | Physician Assistant | 2014-11-03 ~ 2015-11-30 |
| Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Timothy R Cook | 28 Augusta Dr, Milford, CT 06461-1683 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Timothy E. August | 27 Libbies Ln, Waynesville, NC 28786-9311 | Physician Assistant | 2013-05-22 ~ 2014-04-30 |
| Timothy Zack Day | 915 Main St Apt 602, Hartford, CT 06103 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Tia J Williams | 133 Lakeshore Dr, New Hartford, CT 06057-4123 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Timothy A Wright | 42 Warren Street, Cheshire, CT 06410 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Timothy K Burnham | 229 Pelican Drive, Groton, CT 06340 | Physician Assistant | 2000-10-13 ~ 2001-11-30 |
| Timothy B Lassiter | 3 Gulliver Circle, Norwich, CT 06360 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Cheryl L Williams | 54 Turnor Ave, Milford, CT 06460-5357 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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| 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).