MICHAEL T KING (Credential# 1469459) 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.
MICHAEL T KING is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004088. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 40 Old Farms Rd, South Glastonbury, CT 06073. The current status is active.
Licensee Name | MICHAEL T KING |
Credential ID | 1469459 |
Credential Number | 23.004088 |
Credential Type | Physician Assistant |
Business Address |
40 Old Farms Rd South Glastonbury CT 06073 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-05-01 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1606548 | CSP.0069696 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael T King | 516 Hills Street, East Hartford, CT 06118 | Emergency Medical Technician | 2001-11-09 ~ 2004-10-01 |
Street Address | 40 Old Farms Rd |
City | South Glastonbury |
State | CT |
Zip Code | 06073 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jacki Goldstein | 40 Old Farms Rd, South Glastonbury, CT 06073 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Belltown Hill Orchards LLC | 483 Matson Hill Rd, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Catherine L Cuva | 65 Backland Rd, South Glastonbury, CT 06073 | Speech and Language Pathologist | ~ |
Nitu M Kashyap Md | 199 Old Maids Lane, South Glastonbury, CT 06073 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
L V Fuel Company LLC | 891 Main St, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Daniel W Babella | 55 Hopewell Heights, South Glastonbury, CT 06073 | Water Treatment Plant Operator In Training | 2020-04-01 ~ 2023-03-31 |
Anne T Rolfe | 8 High Ridge Road, Glastonbury, CT 06073 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Audrey C Mcfarlane-nelson · Mcfarlane | 81 Glastonbury Hunt Lane, S. Glastonbury, CT 06073 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Alan J Dumaine | 391 Tryon Street, South Glastonbury, CT 06073 | Audiologist | 2020-09-01 ~ 2021-08-31 |
Lottie's Country Kitchen · Carol Mulazzi Dba | 2187 New London Tnpk, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
Dondero Orchards LLC | 529 Woodland St, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06073 |
City | South Glastonbury |
Zip Code | 06073 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + South Glastonbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William S King | 17 Tumblebrook Cir, Somers, CT 06071 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
Karli A King | 22 Stein Rd, Ellington, CT 06029-3713 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Alexandra Taylor Martin | 661 King Ave, Bronx, NY 10464-1114 | Physician Assistant | 2019-07-26 ~ 2020-04-30 |
Alyson King Gannon | 272 Nortontown Rd, Guilford, CT 06437 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Diana Jean King | 119 Union St., East Walpole, MA 02032 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Shiva L Kashanipour | One King Philip Drive, West Hartford, CT 06117 | Physician Assistant | 2008-05-12 ~ 2009-04-30 |
Michael B Clark | 175 King Street, Armonk, NY 10504 | Physician/surgeon | 2008-12-10 ~ 2009-12-31 |
Michael S King Md | 115 Technology Drive, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Michael P Terp Pa | 124 Platt Ave, Norwich, CT 06360-3627 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
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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).