COLLIN DIMLER (Credential# 1590201) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
COLLIN DIMLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004255. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 195 Webster Hill Blvd, West Hartford, CT 06107-3748. The current status is active.
Licensee Name | COLLIN DIMLER |
Credential ID | 1590201 |
Credential Number | 23.004255 |
Credential Type | Physician Assistant |
Business Address |
195 Webster Hill Blvd West Hartford CT 06107-3748 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-09-20 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1596865 | CSP.0069446 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-09-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 195 WEBSTER HILL BLVD |
City | WEST HARTFORD |
State | CT |
Zip Code | 06107-3748 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Akiko I Mallett | 26d Loomis Dr., West Hartford, CT 06107-3748 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06107 |
City | WEST HARTFORD |
Zip Code | 06107 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Collin A Dimler | 3448 Cooper St, Stone Ridge, NY 12484-5416 | Emergency Medical Technician | 2014-06-17 ~ 2017-04-01 |
Daniel C Dimler | 529 Second Ave, Lyndhurst, NJ 07071 | Non-water Supply Driller | ~ |
Collin Landscaping LLC | 81 Limestone Dr, Torrington, CT 06790-4101 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
Collin R Edwards | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
Collin C Watson Md | 12 Beckett Ave, Branford, CT 06405 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Gary R Collin Md | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2005-01-03 ~ 2006-02-28 |
Collin Mitchell Homer-bouthiette | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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 |
Collin Property Management LLC | 81 Limestone Dr, Torrington, CT 06790-4101 | Home Improvement Contractor | 2010-02-05 ~ 2010-11-30 |
Collin's Hardwood Flooring LLC | 13 Breguet Rd, Goshen, CT 06756-1419 | Home Improvement Contractor | 2020-04-13 ~ 2020-11-30 |
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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).