DARYL DE VILLIER (Credential# 1462520) 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.
DARYL DE VILLIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004010. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 14 Hubbard Run Drive, Glastonbury, CT 06033. The current status is active.
| Licensee Name | DARYL DE VILLIER |
| Credential ID | 1462520 |
| Credential Number | 23.004010 |
| Credential Type | Physician Assistant |
| Business Address |
14 Hubbard Run Drive Glastonbury CT 06033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-13 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1468147 | CSP.0067255 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-12-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 14 Hubbard Run Drive |
| City | Glastonbury |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | Glastonbury |
| Zip Code | 06033 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Glastonbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexa De Villier | 110 Atwater Ter, Springfield, MA 01107-1242 | Registered Nurse | ~ |
| Daryl Ajgelo · Daryl's Tree & Lawn Service | 31 Circle Dr, Branford, CT 06405-2509 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Daryl J Belter · Msc.00338 | Dba Northwest Construction Company, Salisbury, CT 06068 | Major Contractor | 1997-07-30 ~ 1998-06-30 |
| Daryl R Altman | 44 Rowe Ave, Lynbrook, NY 11563 | Physician/surgeon | 1992-11-24 ~ 1993-09-30 |
| Daryl R. Parker | 132 York Rd, Mansfield, MA 02048-1764 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Daryl Kent Maccarter | 222 Bradley Ave Bldg 3, Waterbury, CT 06708-4405 | Physician/surgeon | 1976-10-15 ~ 1979-12-31 |
| Daryl R Connolly | 19 Towne House Road, Hamden, CT 68514 | Resident Physician | 2017-07-01 ~ 2019-06-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Daryl Rex Groom | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-08-06 ~ 2018-08-05 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Please comment or provide details below to improve the information on DARYL DE VILLIER.
| 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).