EMMA E WOODWARD (Credential# 1597247) 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.
EMMA E WOODWARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004276. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 380 Mather Street, Hamden, CT 06514. The current status is active.
| Licensee Name | EMMA E WOODWARD |
| Credential ID | 1597247 |
| Credential Number | 23.004276 |
| Credential Type | Physician Assistant |
| Business Address |
380 Mather Street Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1607468 | CSP.0069722 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1221218 | 70.017736 | Emergency Medical Technician | 2014-06-17 | 2014-06-17 - 2017-03-31 | INACTIVE |
| 1168285 | PTN.0015332 | PHARMACY TECHNICIAN | 2013-06-10 | 2013-06-10 - 2014-03-31 | INACTIVE |
| Street Address | 380 MATHER STREET |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew W Davis | 380 Mather Street, Hamden, CT 06514 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Lauren Anastasia Rao | 380 Mather Street, Hamden, CT 06514 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Adil S Bhutta | 380 Mather Street, Hamden, CT 06514 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Amber A Morrone | 380 Mather Street, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexandra P Hilliard | 380 Mather Street, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Marie Rosalette A Mortel | 380 Mather Street, Hamden, CT 06514 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Lauren Messerschmidt | 380 Mather Street, Hamden, CT 06514 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Pallavi P Gopal | 380 Mather Street, Hamden, CT 06514 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| David Beber, Jr. | 380 Mather Street, Hamden, CT 06514 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Rosa M Perez | 380 Mather Street, Hamden, CT 06514 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Fair Pa | 24 Woodward Ave #61, New Haven, CT 06512-3636 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Patrick C Mcaree | 12 Woodward Road, Columbia, CT 06237 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Monica M Sheppard | 3537 Woodward Ave, Seaford, NY 11783-2448 | Physician Assistant | 2009-09-21 ~ 2010-02-28 |
| Emma Lamothe | 220 Quaker Lane South, West Hartford, CT 06119 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Emma E Diaz | Emma Diaz, Tampa, FL 33626 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Thomas R Woodward · Woodward Construction | 19 Cream Pot Rd, Clinton, CT 06413 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Woodward Liquor LLC | 50 Woodward Ave, Norwalk, CT 06854-3742 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Emma R Saltonstall | 353 Gilead St, Hebron, CT 06248-1313 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Susan J Mcdowell | 208 Woodward St, Easton, MO 64443 | Physical Therapist Assistant | 2011-07-01 ~ 2012-06-30 |
| Ramon E Lopez · Woodward Liquor | 50 Woodward Ave, South Norwalk, CT 06854 | Package Store Liquor | 2000-08-28 ~ 2001-08-27 |
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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).