DUANE F AUSTIN (Credential# 547526) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DUANE F AUSTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029018. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 639 Park Rd Ste 100, West Hartford, CT 06107-3443. The current status is active.
Licensee Name | DUANE F AUSTIN |
Credential ID | 547526 |
Credential Number | 1.029018 |
Credential Type | Physician/Surgeon |
Business Address |
639 Park Rd Ste 100 West Hartford CT 06107-3443 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1988-05-13 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
155493 | CSP.0016216 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 639 PARK RD STE 100 |
City | WEST HARTFORD |
State | CT |
Zip Code | 06107-3443 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patrick F Albergo | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Judith M Mascolo Md | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Desmond Ebanks Md | 639 Park Rd Fl 2, West Hartford, CT 06107-3443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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/Surgeon |
License Type + County | Physician/Surgeon + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Duane E Dixon Md | 25 Bateau Way, Plattsburgh, NY 24502 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Duane J Dyson Md | 6 Slayback Ter, West Orange, NJ 07052-2272 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Duane W Ebaugh | 1703 West Main St., Willimantic, CT 06226 | Physician/surgeon | ~ 1995-06-30 |
Jaron Duane Ross | 1603 Portola St, Davis, CA 95616 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Duane Charles Wilson | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Nancy E Austin | P.o. Box 926, Putnam, CT 06260 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jon L Belsher | Building One, Austin, TX 78746 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Charles Austin Smith | 501 Folsom St, San Francisco, CA 94105-3174 | Physician/surgeon | ~ |
Karen K Nauschuetz | Po Box 2386, Austin, TX 78768-2386 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
Catherine A Musemeche | 502 E. 41st St, Austin, TX 78751 | Physician/surgeon | 2009-09-21 ~ 2010-05-31 |
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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).