STALIN VARUGHESE
Physician Assistant


Address: 815 Franklin Ave Apt 12, Valley Stream, NY 11580-1500

STALIN VARUGHESE (Credential# 1270125) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 10, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.

Business Overview

STALIN VARUGHESE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003300. The credential type is physician assistant. The effective date is March 10, 2015. The expiration date is January 31, 2016. The business address is 815 Franklin Ave Apt 12, Valley Stream, NY 11580-1500. The current status is inactive.

Basic Information

Licensee Name STALIN VARUGHESE
Credential ID 1270125
Credential Number 23.003300
Credential Type Physician Assistant
Business Address 815 Franklin Ave Apt 12
Valley Stream
NY 11580-1500
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-03-10
Effective Date 2015-03-10
Expiration Date 2016-01-31
Refresh Date 2016-05-17

Office Location

Street Address 815 FRANKLIN AVE APT 12
City VALLEY STREAM
State NY
Zip Code 11580-1500

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Adefunke B Oyede 25 Jasper Street, Valley Stream, NY 11580 Master's Level Social Worker 2020-03-01 ~ 2021-02-28
Hao Mei Li 39 Carl St, Valley Stream, NY 11580 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Madeleine Jabonillo 16 Linden Road, Valley Stream, NY 11580 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Marie Gelin 79 Bank Street, Valley Stream, NY 11580 Master's Level Social Worker 2020-01-01 ~ 2020-12-31
Imran Yousaf 26 Stephen Place, Valley Stream, NY 11580 Pharmacist 2020-02-01 ~ 2022-01-31
George J Kulik 47 Irving St, Valley Stream, NY 11580 Professional Engineer 2020-02-01 ~ 2021-01-31
Indardeo Parbhunath 89 N Montgomery St, Valley Stream, NY 11580 Professional Engineer 2020-02-01 ~ 2021-01-31
Karen Greenfield 1015 Lynn Drive, Valley Stream, NY 11580 Notary Public Appointment 2016-06-24 ~ 2021-06-30
Barbara Di Martino 856 Oxford Court, North Valley Stream, NY 11580 Notary Public Appointment 2001-05-02 ~ 2006-05-31
Philippe Chu 900 Franklin Ave, Valley Stream, NY 11580 Physician/surgeon 2019-12-01 ~ 2020-11-30
Find all Licenses in zip 11580

Competitor

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City VALLEY STREAM
Zip Code 11580
License Type Physician Assistant
License Type + County Physician Assistant + VALLEY STREAM

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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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