PAUL M WILLETTE (Credential# 564645) 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.
PAUL M WILLETTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047063. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2120 Sansores St, Lady Lake, FL 32159-9456. The current status is active.
| Licensee Name | PAUL M WILLETTE |
| Credential ID | 564645 |
| Credential Number | 1.047063 |
| Credential Type | Physician/Surgeon |
| Business Address |
2120 Sansores St Lady Lake FL 32159-9456 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - SUSPENDED - MAY NOT PRACTICE |
| Active | 1 |
| Issue Date | 2008-10-03 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 530938 | CSP.0045426 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-05-14 | 2013-03-12 - 2015-02-28 | INACTIVE |
| Street Address | 2120 SANSORES ST |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159-9456 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mario Tyrone Louis | 430 Winners Circle, Lady Lake, FL 32159 | Registered Nurse - Temporary | 2019-05-08 ~ 2019-09-05 |
| Paula S Pendleton | 941 Mendoza Blvd., Lady Lake, FL 32159 | Registered Sanitarian | 2017-07-01 ~ 2018-06-30 |
| Lucille A Dowling | 268 Montoya Dr, The Villages, FL 32159 | Licensed Practical Nurse | 2017-04-01 ~ 2018-03-31 |
| Maribel Perez | 185 Tara Oaks Cir, Lady Lake, PR 32159 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
| Joan H Hutchinson | 1846 Madero Drive, Lady Lake, FL 32159 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
| Maureen S Chodan | 423 Hwy 466, Lady Lake, FL 32159 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
| Vonda L Kirchberger | 929 Soledad Way, Lady Lake, FL 32159 | Registered Nurse | 2008-05-05 ~ 2010-06-30 |
| Shrikanth Py Upadya Md | 5640 Spinnaker Loop, Lady Lake, FL 32159 | Physician/surgeon | 2007-08-27 ~ 2008-05-31 |
| Beverly M Bullock | 612 Third Ave, Lady Lake, FL 32159 | Hairdresser/cosmetician | 1994-07-19 ~ 1995-07-31 |
| Margaret E Witick | 13847 Cr 109 D, Lady Lake, FL 32159 | Licensed Practical Nurse | 1994-05-19 ~ 1995-06-30 |
| Find all Licenses in zip 32159 | |||
| City | LADY LAKE |
| Zip Code | 32159 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LADY LAKE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul A Willette | 8298 Amberleigh Way, Dublin, OH 43017 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
| Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
| Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| John S Misa | 178 9th St E Ste 300, St. Paul, MN 55101 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Paul J Healey | 76 Gay St, Somerset, MA 02726-5313 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Paul F Nee Md | 33 Germantown Rd Ste 2, Danbury, CT 06810-5039 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Paul James Laveau | CT | Physician/surgeon | 1988-04-15 ~ 1990-06-30 |
| Paul R Danker | Po Box 506, Slingerlands, NY 12159 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Alexander Paul | 389 Humphrey St, New Haven, CT 06511-3710 | Physician/surgeon | ~ |
| L Paul Brief | 175 Route 304, Bardonia, NY 10954 | Physician/surgeon | 1996-05-13 ~ 1997-07-31 |
Please comment or provide details below to improve the information on PAUL M WILLETTE.
| 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).