DIANA JEAN KING
Physician Assistant


Address: 119 Union St., East Walpole, MA 02032

DIANA JEAN KING (Credential# 1517835) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.

Business Overview

DIANA JEAN KING is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004161. The credential type is physician assistant. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 119 Union St., East Walpole, MA 02032. The current status is inactive.

Basic Information

Licensee Name DIANA JEAN KING
Credential ID 1517835
Credential Number 23.004161
Credential Type Physician Assistant
Business Address 119 Union St.
East Walpole
MA 02032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2018-07-16
Effective Date 2018-10-01
Expiration Date 2019-09-30
Refresh Date 2020-01-03

Office Location

Street Address 119 Union St.
City East Walpole
State MA
Zip Code 02032

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Peggy Lawton Kitchen Inc 255 Washington Street, East Walpole, MA 02032 Bakery 2020-07-01 ~ 2021-06-30
Stephen Edward Hamwey 32 Pall Mall, Walpole, MA 02032 Professional Engineer 2014-02-01 ~ 2015-01-31
Bagel Bagel Co · Pk Group Intl Dba 246 Union St, Walpole, MA 02032 Bakery 1997-07-01 ~ 1998-06-30
Ramesh V Patel · Steco Engr Corp 24 Old Rd, E Walpole, MA 02032 Professional Engineer 1995-01-23 ~ 1996-01-31
Paul G Keane 20 Old Post Rd, E Walpole, MA 02032 Professional Engineer 2000-02-01 ~ 2001-01-31
Shaun Evans 22 Morse Street, MA 02032 Electrical Unlimited Journeyperson ~
Bryan G Buckley 48 Rustic Road, E. Walpole, MA 02032 Massage Therapist 2004-05-12 ~ 2006-05-31
Lana F Macdonald · Simaski 401 Washington St, East Walpole, MA 02032 Registered Nurse ~ 1996-01-31
Dean Graves 24 Squire Ct, E Walpole, MA 02032 Electrical Limited Journeyperson 1997-10-01 ~ 1998-09-30
Ronald P Conway 23 Bird St, Walpole, MA 02032 Electrical Unlimited Journeyperson ~
Find all Licenses in zip 02032

Competitor

Search similar business entities

City East Walpole
Zip Code 02032
License Type Physician Assistant
License Type + County Physician Assistant + East Walpole

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Dataset Information

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).

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