DAVID G STOWE PA (Credential# 743448) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is September 30, 2013. The license status is INACTIVE.
DAVID G STOWE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001699. The credential type is physician assistant. The effective date is October 1, 2012. The expiration date is September 30, 2013. The business address is 181 Grayville Rd, Amston, CT 06231-1614. The current status is inactive.
| Licensee Name | DAVID G STOWE PA |
| Credential ID | 743448 |
| Credential Number | 23.001699 |
| Credential Type | Physician Assistant |
| Business Address |
181 Grayville Rd Amston CT 06231-1614 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-10-14 |
| Effective Date | 2012-10-01 |
| Expiration Date | 2013-09-30 |
| Refresh Date | 2014-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 420696 | CSP.0038501 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-28 | 2011-03-01 - 2013-02-28 | INACTIVE |
| 214296 | PTN.0002499 | PHARMACY TECHNICIAN | 2001-04-04 - 2002-03-31 | INACTIVE |
| Street Address | 181 GRAYVILLE RD |
| City | AMSTON |
| State | CT |
| Zip Code | 06231-1614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brenda S Adelson | 179 Grayville Rd, Amston, CT 06231-1614 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zhen Feng | 102 B3 Wellswood Rd, Amston, CT 06231 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosalie Ann Simichak | 70 Grayville Rd, Amston, CT 06231 | Professional Counselor | 2020-06-25 ~ 2020-09-30 |
| Sheila M Cordner | 208 Reidy Hill Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Peter A Ciotto | 139 Burrows Hill Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Kathryn L Hnat | 101 Old Colchester Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Lena Ann Rabbitt | 86 Smith Farm Road, Amston, CT 06231 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Cameron Michael Lettieri | 351 Old Colchester Road, Amston, CT 06231 | Emergency Medical Technician | ~ |
| Gillian Denizkurt | 22 Heron Hill, Hebron, CT 06231 | Emergency Medical Technician | ~ |
| Terri P Hayes | 246 Old Hartford Road, Amston, CT 06231 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Justin P Toussaint | 116 Cannon Drive, Amston, CT 06231 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Find all Licenses in zip 06231 | |||
| City | AMSTON |
| Zip Code | 06231 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + AMSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica L Nilsson Pa | 134 Red Acre Rd, Stowe, MA 01775 | Physician Assistant | 2003-03-07 ~ 2004-04-30 |
| Megan Teixeira Kolanovic | 22 Stowe Pl, Trumbull, CT 06611-5125 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Haller & Stowe Oil Co Inc · David P Haller | Po Box 333, Monroe, CT 06468 | Motor Fuel Quality Registration | 2001-11-01 ~ 2002-10-31 |
| Alchemy Brewing Stowe LLC | 100 Cottage Club Rd, Stowe, VT 05672-4139 | Out of State Shipper Beer | 2020-04-22 ~ 2021-04-21 |
| Daniel P Stowe | 295 Oak St, South Windsor, CT 06074-2344 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| David Malchman Pa | Po Box 372, N Stonington, CT 06359 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| David T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
| David M Lang | 197 Oak Ave., Cheshire, CT 06410 | Physician Assistant | 2004-03-16 ~ 2005-05-31 |
| Sally Ann Stowe | 66 Stowe Ave, Milford, CT 06460 | Notary Public Appointment | 1977-06-01 ~ 1982-03-31 |
| Jaclyn Stowe Stowe | 98 Coppermine Rd, Farmington, CT 06032 | Emergency Medical Technician | ~ |
Please comment or provide details below to improve the information on DAVID G STOWE PA.
| 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).