MICHAEL S THIBAULT (Credential# 743138) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MICHAEL S THIBAULT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001389. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 15 Essex Dr, Milford, CT 06460-3810. The current status is active.
| Licensee Name | MICHAEL S THIBAULT |
| Credential ID | 743138 |
| Credential Number | 23.001389 |
| Credential Type | Physician Assistant |
| Business Address |
15 Essex Dr Milford CT 06460-3810 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-09-30 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 894560 | CSP.0046496 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-11-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 347232 | CSP.0033996 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 15 ESSEX DR |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan M Smeland | 55 Essex Dr, Milford, CT 06460-3810 | Massage Therapist | 2018-10-01 ~ 2020-09-30 |
| Walks With Buddy Inc | 55 Essex Dr, Milford, CT 06460-3810 | Public Charity-exempt From Financial Requirements | 2016-10-19 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean Claude Thibault · J C Thibault Construction | 536 Franklin St Ext, Agawam, MA 01001 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Dan Thibault · Dan Thibault Construction | 171 James St., Feeding Hills, MA 01030-1922 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Michael P Thibault | Po Box 254, Riverton, CT 06065-0254 | Limited Sheet Metal Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Michael A Thibault | 972 Lyon St, Ludlow, MA 01056-1142 | Electrical Unlimited Journeyperson | 2019-11-12 ~ 2020-09-30 |
| Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Carl L Michael | 25 Lefferts Ave., Brooklyn, NY 11225 | Physician Assistant | 2000-06-15 ~ 2000-11-30 |
| Michael F Iozzo Pa | 17 Crane Rd, Ellington, CT 06029-2004 | Physician Assistant | 2010-09-01 ~ 2011-08-31 |
| Michael Dow Pa | 23 Daniel St, East Hampton, CT 06424 | Physician Assistant | 2007-05-18 ~ 2008-07-31 |
| 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 |
Please comment or provide details below to improve the information on MICHAEL S THIBAULT.
| 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).