TANYA M DZUBATY (Credential# 1125740) 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.
TANYA M DZUBATY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002841. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 522 Ocean Ave., West Haven, CT 06516. The current status is active.
Licensee Name | TANYA M DZUBATY |
Credential ID | 1125740 |
Credential Number | 23.002841 |
Credential Type | Physician Assistant |
Business Address |
522 Ocean Ave. West Haven CT 06516 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2012-10-04 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1130161 | CSP.0053943 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-11-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
849336 | 70.009603 | Emergency Medical Technician | 2008-06-12 | 2008-06-12 - 2010-03-31 | INACTIVE |
Street Address | 522 Ocean Ave. |
City | West Haven |
State | CT |
Zip Code | 06516 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06516 |
City | West Haven |
Zip Code | 06516 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + West Haven |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Dzubaty Md | 522 Ocean Ave, West Haven, CT 06516 | Physician/surgeon | 1999-03-18 ~ 2000-03-31 |
Tanya L Gaynor | 10 Whitlock Lane, Ridgefield, CT 06877 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Tanya M Whalen | 4360 Pine Ridge Pkwy, Grand Rapids, MI 49525 | Physical Therapist Assistant | 2005-10-20 ~ 2006-11-01 |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Tanya Davis · Tanya's Treats | 11 Leonard Rd, Enfield, CT 06082-2455 | Cottage Food Operation | 2019-06-20 ~ 2020-02-28 |
Tanya A. Hanke | 102 Gorman Rd, Brooklyn, CT 06234-1804 | Physician/surgeon | 2012-06-27 ~ 2013-03-31 |
Tanya Dutta | 12 Gatehouse Rd, Scarsdale, NY 10583-7536 | Physician/surgeon | 2014-11-25 ~ 2015-03-31 |
Louis T Difazio Jr | 14 Tanya Circle, Ocean, NJ 07712 | Physician/surgeon | 1997-12-29 ~ 1998-12-31 |
Tanya Arvind Rege | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Tanya P Lucas | 2 Park Street, Enfield, CT 06082 | Physician/surgeon | 2000-09-01 ~ 2001-05-31 |
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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).