HOLLY J DUDASH
Physician Assistant


Address: Rt. 1, Box 416b, Farmington, WV 26571

HOLLY J DUDASH (Credential# 744000) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 6, 2009. The license expiration date date is October 31, 2009. The license status is INACTIVE.

Business Overview

HOLLY J DUDASH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002251. The credential type is physician assistant. The effective date is April 6, 2009. The expiration date is October 31, 2009. The business address is Rt. 1, Box 416b, Farmington, WV 26571. The current status is inactive.

Basic Information

Licensee Name HOLLY J DUDASH
Credential ID 744000
Credential Number 23.002251
Credential Type Physician Assistant
Business Address Rt. 1, Box 416b
Farmington
WV 26571
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-04-06
Effective Date 2009-04-06
Expiration Date 2009-10-31
Refresh Date 2010-03-12

Office Location

Street Address Rt. 1, Box 416B
City Farmington
State WV
Zip Code 26571

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Competitor

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City Farmington
Zip Code 26571
License Type Physician Assistant
License Type + County Physician Assistant + Farmington

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Dataset Information

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).

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