WAYNE SIZEMORE PA (Credential# 742433) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 21, 2000. The license expiration date date is August 31, 2001. The license status is INACTIVE.
WAYNE SIZEMORE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000684. The credential type is physician assistant. The effective date is June 21, 2000. The expiration date is August 31, 2001. The business address is Shorline Clinic, Clinton, CT 06413. The current status is inactive.
| Licensee Name | WAYNE SIZEMORE PA |
| Credential ID | 742433 |
| Credential Number | 23.000684 |
| Credential Type | Physician Assistant |
| Business Address |
Shorline Clinic Clinton CT 06413 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-10-17 |
| Effective Date | 2000-06-21 |
| Expiration Date | 2001-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 186048 | CSP.0026322 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | SHORLINE CLINIC |
| City | CLINTON |
| State | CT |
| Zip Code | 06413 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Anthony Macdonald | 147 Shore Road, Clinton, CT 06413 | Architect | 2020-08-01 ~ 2021-07-31 |
| Scott W Santiago | 5 Hurd Bridge Road, Clinton, CT 06413 | Real Estate Salesperson | ~ |
| Kristopher W Brooks | 93 West Main Street, Clinton, CT 06413 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| James F Schetzel | 25 B River Rd, Clinton, CT 06413 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Amanda Michelle Saren | 7 Grant Place, Clinton, CT 06413 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-12-31 |
| Rebecca C Kadel | 118 Long Hill Road, Clinton, CT 06413 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Tamara A Potselueva | 10 Hemlock Hill Road, Clinton, CT 06413 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Lindt Chocolate Shop #397 · Lindt & Sprungli (usa) Inc | 20-a Killingworth Tpke Space 230, Clinton, CT 06413 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Dana D Striby | 26 Park Drive, Clinton, CT 06413 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Dunkin Donuts | 172 Clinton Rd, Killingworth, CT 06413 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06413 | |||
| City | CLINTON |
| Zip Code | 06413 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CLINTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wayne M Perosky | 132 Krapf Rd, Ashford, CT 06278 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Karishma Aggarwal | 45 Holyoke Rd, Wayne, NJ 07470-2087 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Daniel J Tucker | 187 Wayne St, Jersey City, NJ 07302 | Physician Assistant | 1997-09-24 ~ 1998-09-30 |
| Wayne Gilbertie Md · Radiology & Imaging | Wayne Gilbertie, Md, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| 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 |
| Michael M Sizemore | 860 Peachtree Battle Cir, Atlanta, GA 30327 | Architect | 2009-08-01 ~ 2010-07-31 |
| Shirley A Sizemore | 2410 Conley Rd, London, KY 40744 | Registered Nurse | 2009-01-16 ~ 2010-01-31 |
| Brandi Whitaker Sizemore | 938 Carl Pressley Rd, Lexington, NC 27295 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Steve Sizemore | 72 Amber St., Buffalo, NY 14220 | Hoisting Equipment Operator | 2004-11-28 ~ 2006-11-27 |
| Cheryl M Sizemore | 1414 Allison St, Rogersville, TN 37857-2206 | Registered Nurse - Temporary | 2011-08-11 ~ 2011-12-09 |
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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).