ROB J BOUDEWIJN (Credential# 741893) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 12, 2009. The license expiration date date is January 31, 2010. The license status is INACTIVE.
ROB J BOUDEWIJN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000144. The credential type is physician assistant. The effective date is January 12, 2009. The expiration date is January 31, 2010. The business address is 97 Rackleff Street, Portland, ME 04103. The current status is inactive.
| Licensee Name | ROB J BOUDEWIJN |
| Credential ID | 741893 |
| Credential Number | 23.000144 |
| Credential Type | Physician Assistant |
| Business Address |
97 Rackleff Street Portland ME 04103 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-01 |
| Effective Date | 2009-01-12 |
| Expiration Date | 2010-01-31 |
| Refresh Date | 2010-05-25 |
| Street Address | 97 RACKLEFF STREET |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Harrington-howes | 93 Clifton Street, Portland, ME 04103 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Nathan Brewster | 51 Copley Woods Cir, Portland, ME 04103 | Physical Therapist | ~ |
| Wayne W Duffett | 52 E Commonwealth Dr, Portland, ME 04103 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Edward J Leonard | 435 Woodford St, Portland, ME 04103 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Frank J Paul Jr | 1058 Washington Ave, Portland, ME 04103 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mathematics & Problem Solving LLC | 40 Walch Drive, Portland, ME 04103 | Securities - Exemptions | 2019-12-06 ~ |
| Andrew P Burke | 34 Rackleff St, Portland, ME 04103 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ron L Beaulieu & Company | 41 Bates Street, Portland, ME 04103 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| William J Weber | 66 Roaring Brook Rd, Portland, ME 04103 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
| Quilted Bee (the) | 42 Noyes St, Portland, ME 04103 | Manufacturer of Bedding & Upholstered Furniture | 1995-11-06 ~ 1996-04-30 |
| Find all Licenses in zip 04103 | |||
| City | PORTLAND |
| Zip Code | 04103 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rob Boudewijn Pa | Apt 1-4 Bldg #1, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 1993-11-10 ~ 1995-07-01 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
| Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Suechu Eng Taing | Po Box 304, Rosemead, CA 91770-0304 | Physician Assistant | ~ |
| Stacie Meisner | Po Box 384, Albion, RI 02802-0384 | Physician Assistant | ~ |
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
Please comment or provide details below to improve the information on ROB J BOUDEWIJN.
| 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).