DOUGLAS R HOOD PA (Credential# 742019) is licensed (Physician Assistant) 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.
DOUGLAS R HOOD PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000270. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 169 Ridgewood Ave, North Haven, CT 06473. The current status is active.
| Licensee Name | DOUGLAS R HOOD PA |
| Credential ID | 742019 |
| Credential Number | 23.000270 |
| Credential Type | Physician Assistant |
| Business Address |
169 Ridgewood Ave North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 194330 | CSP.0026890 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 169 Ridgewood Ave |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas Hickok | Po Box 313, Bethel, PA 19507-0313 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
| Laurel J Harlamoff | 30 Douglas Ave. #a, Stamford, CT 06906 | Physician Assistant | 2003-05-01 ~ 2004-05-31 |
| Douglas L Kugel Pa-c | 10 Merrick Ct, Brewster, NY 10509 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lauren Sloss | 12 Douglas Dr, Cumberland, RI 02864-1519 | Physician Assistant | 2018-07-02 ~ 2019-06-30 |
| Audrey Douglas | 26 John St, Derby, CT 06418 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Douglas R Paragone | 18 Bretton Rd, West Hartford, CT 06119 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Sam Taylor Pa | 95169 Douglas Rd, Fernandina Beach, FL 32034-1268 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
| Douglas E Muller | 61-72 77th Street, Middle Village, NY 11379 | Physician Assistant | 2000-03-27 ~ 2001-02-28 |
| Juliane Laine Douglas | Naval Health Clinic Hawaii, Jbphh, HI 96860 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Hood River Distillers Inc | 660 Riverside Dr, Hood River, OR 97031-1177 | Out of State Shipper Liquor | 2020-04-29 ~ 2021-04-28 |
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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).