DOUGLAS R PARAGONE
Physician Assistant


Address: 18 Bretton Rd, West Hartford, CT 06119

DOUGLAS R PARAGONE (Credential# 1519867) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

DOUGLAS R PARAGONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004228. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 18 Bretton Rd, West Hartford, CT 06119. The current status is active.

Basic Information

Licensee Name DOUGLAS R PARAGONE
Credential ID 1519867
Credential Number 23.004228
Credential Type Physician Assistant
Business Address 18 Bretton Rd
West Hartford
CT 06119
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-09-10
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-21

Other licenses

ID Credential Code Credential Type Issue Term Status
1598680 CSP.0069505 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-09-11 2019-03-01 - 2021-02-28 ACTIVE
934765 70.012250 Emergency Medical Technician 2010-06-10 2012-05-01 - 2016-03-31 INACTIVE

Office Location

Street Address 18 Bretton Rd
City West Hartford
State CT
Zip Code 06119

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City West Hartford
Zip Code 06119
License Type Physician Assistant
License Type + County Physician Assistant + West Hartford

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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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