ALEXANDRA C KAYAT PA-C (Credential# 1028113) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.
ALEXANDRA C KAYAT PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002618. The credential type is physician assistant. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 709 Brookside Ct, Manchester, CT 06042-7116. The current status is inactive.
| Licensee Name | ALEXANDRA C KAYAT PA-C |
| Credential ID | 1028113 |
| Credential Number | 23.002618 |
| Credential Type | Physician Assistant |
| Business Address |
709 Brookside Ct Manchester CT 06042-7116 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-08-15 |
| Effective Date | 2012-05-01 |
| Expiration Date | 2013-04-30 |
| Refresh Date | 2013-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1029101 | CSP.0051232 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-18 | 2011-08-18 - 2013-02-28 | INACTIVE |
| Street Address | 709 BROOKSIDE CT |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-7116 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucinda R Rogers | 44 Wildwood Drive, Manchester, CT 06042-7116 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Thomas M Difazio Jr | 710 Brookside Ct, Manchester, CT 06042-7116 | Real Estate Broker | 2020-05-07 ~ 2021-03-31 |
| Colette R Thorne | 701 Brookside Ct, Manchester, CT 06042-7116 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Morgan Alexandra Tate | 245 5th Ave, New York, NY 10016 | Physician Assistant | 2020-04-23 ~ 2020-10-31 |
| Alexandra M Bachyrycz | 300 Columbus Ave Apt 3t, Tuckahoe, NY 10707-2558 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Alexandra P Pavain | 24 Hospital Ave, Danbury, CT 06810-6099 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Alexandra Archer Pa-c | 4 Fuller Ave, Ardsley, NY 10502-2110 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
| Brittany Alexandra Ramos | 119 Simpkins Dr, Bristol, CT 06010-9011 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Alexandra Lauren Sirrine | 2 Trail Run, Vernon, CT 06066 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Alexandra Taylor Martin | 661 King Ave, Bronx, NY 10464-1114 | Physician Assistant | 2019-07-26 ~ 2020-04-30 |
| Alexandra Pires | 35 Ward St, Norwich, CT 06360-6117 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Alexandra Halleck | 10 Tallulah Ct, Jonesboro, GA 30236-5488 | Physical Therapist Assistant | 2020-05-05 ~ 2020-10-31 |
| Alexandra V Mochetti | 9 Narragansett Ave, Westerly, RI 02891-1940 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).