CHARLES EDWARD (Credential# 1006184) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 12, 2011. The license expiration date date is August 31, 2012. The license status is INACTIVE.
CHARLES EDWARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002691. The credential type is physician assistant. The effective date is December 12, 2011. The expiration date is August 31, 2012. The business address is 99 26 193 St, Hollis, NY 11423-3216. The current status is inactive.
| Licensee Name | CHARLES EDWARD |
| Credential ID | 1006184 |
| Credential Number | 23.002691 |
| Credential Type | Physician Assistant |
| Business Address |
99 26 193 St Hollis NY 11423-3216 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-12-12 |
| Effective Date | 2011-12-12 |
| Expiration Date | 2012-08-31 |
| Refresh Date | 2012-12-05 |
| Street Address | 99 26 193 ST |
| City | HOLLIS |
| State | NY |
| Zip Code | 11423-3216 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lorraine A Marco | 90-10 186th Street, Hollis, NY 11423 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Audrienne Melissa Boyd | 8745 Marengo Street, Hollis, NY 11423 | Master's Level Social Worker | 2020-03-01 ~ 2021-02-28 |
| Efraim Goldstein | 200-24 Keno Ave, Jamaica, NY 11423 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kurt A Thornton | 87-50 204th St B 58, Holliswood, NY 11423 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mark Murdakhayev | 81-48189 St, Hollis, NY 11423 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Jing J Sun | 88-34 195th Pl, Hollis, NY 11423 | Massage Therapist | 2017-07-01 ~ 2019-06-30 |
| Valeriy Aranbayev | 19340 85th Road, Hollis, NY 11423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joyce Mary Akhtar Md | 8016 188th St, Hollis, NY 11423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Supreme Futon | 183-16 Jamaica Ave, Hollis, NY 11423 | Manufacturer of Bedding & Upholstered Furniture | 2007-05-01 ~ 2008-04-30 |
| Popular Pita Bread · Apex Food Inc Dba | 182-12 93 Ave, Jamaica, NY 11423 | Bakery | 1997-04-18 ~ 1997-06-30 |
| Find all Licenses in zip 11423 | |||
| City | HOLLIS |
| Zip Code | 11423 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HOLLIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward Anthony Pacitti | 142 Ely Ave, West Springfield, MA 01089-2286 | Physician Assistant | ~ |
| Edward Zaslavsky Pa | 130 Diana Rd, Plantsville, CT 06479-1307 | Physician Assistant | 2006-10-17 ~ 2007-09-30 |
| Edward A Ranzenbach Pa-c | 30 Shelburne Rd #e-4, Stamford, CA 06904 | Physician Assistant | 2011-02-01 ~ 2012-01-31 |
| Charles M Andola IIi Pa | 204 Wardwell St, Stamford, CT 06902-5247 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Edward Z Jaroszewski | 24 Northfield, West Hartford, CT 06107 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sean Edward Hoffman | 311 E Main St, Westfield, MA 01085-3307 | Physician Assistant | 2020-05-01 ~ 2021-05-31 |
| Charles Dupaix | 40 Prospect Ave Bldg #1 Apt 4-f, Norwalk, CT 06850-3737 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
| Charles Joseph Braun Jr. | 103 Ash Street, Cortlandt Manor, NY 10567 | Physician Assistant | ~ |
| Charles A Engle | 9 Humber Hill Rd, Danbury, CT 06810-5172 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Charles J Severo | 115 Beachland Avenue, Milford, CT 06460 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on CHARLES EDWARD.
| 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).