MATTHEW D SIMMONS PA (Credential# 743604) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2008. The license expiration date date is August 31, 2009. The license status is INACTIVE.
MATTHEW D SIMMONS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001855. The credential type is physician assistant. The effective date is June 16, 2008. The expiration date is August 31, 2009. The business address is 3124 Town Walk Dr, Hamden, CT 06518. The current status is inactive.
Licensee Name | MATTHEW D SIMMONS PA |
Credential ID | 743604 |
Credential Number | 23.001855 |
Credential Type | Physician Assistant |
Business Address |
3124 Town Walk Dr Hamden CT 06518 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2006-11-08 |
Effective Date | 2008-06-16 |
Expiration Date | 2009-08-31 |
Refresh Date | 2009-12-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
457185 | CSP.0040920 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-12-04 | 2008-03-01 - 2009-02-28 | INACTIVE |
Street Address | 3124 TOWN WALK DR |
City | HAMDEN |
State | CT |
Zip Code | 06518 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Find all Licenses in zip 06518 |
City | HAMDEN |
Zip Code | 06518 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tayler Simmons | 600 Commons Way, Fishkill, NY 12524 | Physician Assistant | 2019-09-20 ~ 2020-09-30 |
Matthew W. Musco Pa-c | 132 Clearfield Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Matthew T Mitchell Pa | 118 Osborne St Apt 1c, Danbury, CT 06810 | Physician Assistant | 2004-11-01 ~ 2005-10-31 |
Matthew D Nankin | 138 Fair St, Wallingford, CT 06492-4210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Matthew B Band | 19 Worden Cir, Cheshire, CT 06410 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Matthew C Singleton Pa-c | 41 Rochela Dr, Southington, CT 06489-4670 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
Matthew J Moore | 55 Langdon Ct, Berlin, CT 06037-1316 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
Matthew A Sleboda | 5 Finn Ln, Plainfield, CT 06374-2062 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Matthew Wieland | 59 Maitland Rd, Stamford, CT 06906-2104 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Matthew Champeau Pa | 234 Spielman Hwy, Burlington, CT 06013-2010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).