MICHAEL C DRURY PA C (Credential# 742749) 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.
MICHAEL C DRURY PA C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001000. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 135 Harbor Ave, Bridgeport, CT 06605-3163. The current status is active.
Licensee Name | MICHAEL C DRURY PA C |
Credential ID | 742749 |
Credential Number | 23.001000 |
Credential Type | Physician Assistant |
Business Address |
135 Harbor Ave Bridgeport CT 06605-3163 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2000-10-18 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
261848 | CSP.0030482 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-02-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 135 HARBOR AVE |
City | BRIDGEPORT |
State | CT |
Zip Code | 06605-3163 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heather M Lopez | 135 Harbor Ave, Bridgeport, CT 06605-3163 | Occupational Therapist | 2005-06-24 ~ 2007-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David T Klansky | 103 Harbor Ave, Bridgeport, CT 06605-3163 | Optician | 2020-04-01 ~ 2021-03-31 |
House Solutions Ct LLC | 125 Harbor Ave, Bridgeport, CT 06605-3163 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Guilvert's Home Improvement LLC | 125 Harbor Ave, Bridgeport, CT 06605-3163 | Home Improvement Contractor | 2016-04-22 ~ 2016-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06605 |
City | BRIDGEPORT |
Zip Code | 06605 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + BRIDGEPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Frank J Drury · Frank J Drury Painting Co | 144 Old Road, Westport, CT 06881 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
Lucas W Drury Sr · Drury Construction | 42 Clark Hill Rd, Prospect, CT 06712-1058 | Home Improvement Contractor | 2018-02-16 ~ 2018-11-30 |
Mark J Drury · Mark J Drury Carpentry | 135 Parkview Terrace, Lee, MA 01238 | Home Improvement Contractor | 2006-09-20 ~ 2007-11-30 |
Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Robert W Drury | 194 Stanley Drive, Glastonbury, CT 06033 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Michael Dow Pa | 23 Daniel St, East Hampton, CT 06424 | Physician Assistant | 2007-05-18 ~ 2008-07-31 |
Michael A Evers | 15 Jenyfer Ct, Shelton, CT 06484 | Physician Assistant | 1995-11-22 ~ 1996-12-31 |
Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Michael J Nolan Pa | 387 Crestwood Dr, Cheshire, CT 06410 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Michael J. Tanguay | 308 Killingworth Rd, Higganum, CT 06441 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).