NATALIA P. BUKSA
Physician Assistant


Address: 50 Bridalpath Lane, Glastonbury, CT 06033

NATALIA P. BUKSA (Credential# 1035570) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

NATALIA P. BUKSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002667. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 50 Bridalpath Lane, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name NATALIA P. BUKSA
Credential ID 1035570
Credential Number 23.002667
Credential Type Physician Assistant
Business Address 50 Bridalpath Lane
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-10-04
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1038436 CSP.0051581 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-10-27 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 50 BRIDALPATH LANE
City GLASTONBURY
State CT
Zip Code 06033

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Maureen E Booth 36 Hubbard Run Drive, Glastonbury, CT 06033 Speech and Language Pathologist 2020-07-01 ~ 2021-06-30
Wendy B Johnson 1789 Main St, Glastonbury, CT 06033 Architect 2020-08-01 ~ 2021-07-31
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Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City GLASTONBURY
Zip Code 06033
License Type Physician Assistant
License Type + County Physician Assistant + GLASTONBURY

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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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