JOHN WOODS PA (Credential# 741886) 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.
JOHN WOODS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000137. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 137 Village Drive, Shelton, CT 06484. The current status is active.
| Licensee Name | JOHN WOODS PA |
| Credential ID | 741886 |
| Credential Number | 23.000137 |
| Credential Type | Physician Assistant |
| Business Address |
137 Village Drive Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-09-17 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161492 | CSP.0021557 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 137 VILLAGE DRIVE |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dawn Moser Pa | 137 Village Drive, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna J Luby | 29 Woods Way, Woodbury, CT 06798-3229 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
| Sharon M Woods | 38 Barn Road, Agawam, MA 01001 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Thomas A Woods | 3460 New Germany Road, Ebensburg, PA 15931 | Physician Assistant | 2006-12-12 ~ 2008-01-31 |
| Mathias Ikhanzuangbe Aihiokhai | 2002 Briar Woods Ln, Danbury, CT 06810-7437 | Physician Assistant | 2020-02-29 ~ 2021-02-28 |
| John R Iacovino Md | 149 Legacy Woods Dr, Wallace, NC 28466 | Physician/surgeon | 2004-02-26 ~ 2005-02-28 |
| John Walker Md | 19 Saxon Woods, Avon, CT 06001-4060 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| John A Larson | 14 Rowayton Woods Drive, Norwalk, CT 06854 | Physician/surgeon | 2004-06-02 ~ 2005-02-28 |
| John Scott Nystrom | 17800 Vernier Rd, Harper Woods, MI 48225-1005 | Physician/surgeon | 1976-06-25 ~ 1981-12-31 |
| John L Woods Jr · Woods Remodeling & Small Repairs | 101 Bayview Road, Niantic, CT 06457 | Home Improvement Contractor | 2001-06-06 ~ 2001-11-30 |
| John Voytek | 15 East St, Wallingford, CT 06492-4005 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on JOHN WOODS PA.
| 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).