ILONA S CHARVAYEV
Physician Assistant


Address: 4028 Bedington Ln, Fort Worth, TX 76244-5734

ILONA S CHARVAYEV (Credential# 1260197) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2019. The license status is INACTIVE.

Business Overview

ILONA S CHARVAYEV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003302. The credential type is physician assistant. The effective date is February 1, 2018. The expiration date is January 31, 2019. The business address is 4028 Bedington Ln, Fort Worth, TX 76244-5734. The current status is inactive.

Basic Information

Licensee Name ILONA S CHARVAYEV
Credential ID 1260197
Credential Number 23.003302
Credential Type Physician Assistant
Business Address 4028 Bedington Ln
Fort Worth
TX 76244-5734
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-03-11
Effective Date 2018-02-01
Expiration Date 2019-01-31
Refresh Date 2019-05-06

Office Location

Street Address 4028 BEDINGTON LN
City FORT WORTH
State TX
Zip Code 76244-5734

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Jamil F Qutub 9101 Silsby Dr, Keller, TX 76244 Registered Nurse 2020-04-01 ~ 2021-03-31
Sarah Harvey 3204 Outlook Ct., Fort Worth, TX 76244 Registered Nurse 2020-06-01 ~ 2021-05-31
Emily C Rivera Ms · Wills 8801 Granite Path, Fort Worth, TX 76244 Registered Nurse 2020-02-01 ~ 2021-01-31
Alice M Ericson 5337 Mirage Dr, Keller, TX 76244 Registered Nurse 2009-06-04 ~ 2010-06-30
Timothy P O'keefe 12537 Autumn Leaves Trl, Keller, TX 76244-1139 Physical Therapist Assistant ~
Drake A Daigle 5301 Sugarloaf Trl Apt 5303, Fort Worth, TX 76244-1437 Electrical Unlimited Contractor 2019-10-01 ~ 2020-09-30
Jasmiry Bennett 12961 Steadman Farms Dr, Keller, TX 76244-1788 Registered Nurse 2020-06-20 ~ 2021-06-30
Beta Upsilon Chi 12650 N Beach St Ste 114, Fort Worth, TX 76244-4245 Public Charity 2020-07-01 ~ 2021-06-30
Roxanne M Mongeon 10216 Knights Ct, Fort Worth, TX 76244-5027 Physician Assistant 2020-05-01 ~ 2021-04-30
Roxanne Mongeon 10216 Knights Ct, Fort Worth, TX 76244-5027 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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Competitor

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City FORT WORTH
Zip Code 76244
License Type Physician Assistant
License Type + County Physician Assistant + FORT WORTH

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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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