RAINA E DICSO (Credential# 1203172) 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.
RAINA E DICSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003051. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 156 Compo Road North, Westport, CT 06880. The current status is active.
| Licensee Name | RAINA E DICSO |
| Credential ID | 1203172 |
| Credential Number | 23.003051 |
| Credential Type | Physician Assistant |
| Business Address |
156 Compo Road North Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-02-14 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1204202 | CSP.0056646 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-02-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 785980 | 59.000741 | Dietitian/Nutritionist | 2006-01-26 | 2007-04-05 - 2008-03-31 | INACTIVE |
| Street Address | 156 Compo Road North |
| City | Westport |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | Westport |
| Zip Code | 06880 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Westport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abhishake Raina | Po Box 388, Hartsdale, NY 10530-0388 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Raina Rx LLC · Route 300 Pharmacy | 1208 Route 300 Ste 103, Newburgh, NY 12550-5003 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Derek Dicso | 386 Mill Road, Stamford, CT 06903 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Veronica Dicso | 23 Ardmore Street, Fairfield, CT 06430 | Notary Public Appointment | 2018-09-28 ~ 2023-09-30 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Raina S Schunk | 21 Whipstick Road, Wilton, CT 06897 | Veterinarian | 2020-03-01 ~ 2021-02-28 |
| Raina Lebron | 30 Frederick Dr, Lake Katrine, NY 12449-5035 | Paramedic | 2014-01-01 ~ 2014-12-31 |
| Raina Patrice Barber | 76 Ivy Street, New Haven, CT 06511 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Rahul Raina | 200 Laura Ln Apt B7, Rocky Hill, CT 06067-1533 | Professional Engineer | 2020-02-04 ~ 2021-01-31 |
Please comment or provide details below to improve the information on RAINA E DICSO.
| 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).