KATHRYN M YUNKOVIC (Credential# 1213909) 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.
KATHRYN M YUNKOVIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003089. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 3164 Fairmount Ave, Bronx, NY 10465-1442. The current status is active.
Licensee Name | KATHRYN M YUNKOVIC |
Credential ID | 1213909 |
Credential Number | 23.003089 |
Credential Type | Physician Assistant |
Business Address |
3164 Fairmount Ave Bronx NY 10465-1442 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-05-12 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1222085 | CSP.0057159 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 3164 FAIRMOUNT AVE |
City | BRONX |
State | NY |
Zip Code | 10465-1442 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Lynch Memorial Foundation | P.o. Box 132, Bronx, NY 10465 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Florence Du Sablon | 107 E Edgewater Park, Bronx, NY 10465 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
C. J. Robin's Real Estate | 1017 Quincy Ave, Bronx, NY 10465 | Real Estate Broker | ~ |
Shengul Julie Jasaroska | 2877lamport Place, Bronx, NY 10465 | Hairdresser/cosmetician | ~ |
Gabriella Nocerino | 1608 Kennellworth Pl, Bronx, NY 10465 | Dentist | 2020-09-01 ~ 2021-08-31 |
Fabian Jesus Rentas | 197 Huntington Ave, Bronx, NY 10465 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Nicole M Sinapi | 254 Robinson Ave, Bronx, NY 10465 | Hairdresser/cosmetician | 2020-02-01 ~ 2022-01-31 |
Kara Lorraine Gerbino | 18 Plaza Place, Bronx, NY 10465 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Geraldine Marie Kelly | 21 Alden Park, Bronx, NY 10465 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Richard M Rodriguez | 4027 E Tremont Avenue, Bronx, NY 10465 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
Find all Licenses in zip 10465 |
City | BRONX |
Zip Code | 10465 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + BRONX |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathryn Ann Janikas | 76 Yorktown Dr., Springfield, MA 01108 | Physician Assistant | ~ |
Kathryn Vignati | 22 E Shore Dr, Niantic, CT 06357 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Kathryn M Gaudino | 100 Highland Ave, Eastchester, NY 10709-3600 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Kathryn B Fuss | 515 West Ave Apt 332, Norwalk, CT 06850-4039 | Physician Assistant | 2019-11-15 ~ 2020-11-30 |
Kathryn Connor | 118 Windwood Way, Mystic, CT 06355-2158 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Kathryn M Schwarz | 102 Columbine Drive, Trumbull, CT 06611 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Kathryn N. Thompson | 4 Corporate Drive, Shelton, CT 06484 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Kathryn R Gordon-escobar Pa | 16 Shoreham Rd, New Haven, CT 06512 | Physician Assistant | 2004-10-05 ~ 2005-10-31 |
Kathryn Marie Lafleur | 20 Northampton Ln Apt A1, Plainville, CT 06062-1245 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Kathryn Gould Pa | 4a Devine St, North Haven, CT 06473 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).