MORDECHAI SACKS (Credential# 1329787) 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.
MORDECHAI SACKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003531. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 141 Woodlawn Ave, New Rochelle, NY 10804-4322. The current status is active.
| Licensee Name | MORDECHAI SACKS |
| Credential ID | 1329787 |
| Credential Number | 23.003531 |
| Credential Type | Physician Assistant |
| Business Address |
141 Woodlawn Ave New Rochelle NY 10804-4322 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-02-10 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1332873 | CSP.0062094 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-02-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 141 WOODLAWN AVE |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10804-4322 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn E Manfredo | 137 Norman Road, New Rochelle, NY 10804 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Victor M Castillo | 15 Gaby Lane, New Rochelle, NY 10804 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amanda C D'onofrio | 11 Gladstone Rd, New Rochelle, NY 10804 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| William F Lore | 412 Stratton Rd, New Rochelle, NY 10804 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melvin M Beacher | 1273 North Ave, New Rochelle, NY 10804 | Architect | 2018-08-01 ~ 2019-07-31 |
| Paul M Mccann | 190 Broadview Ave (mci), New Rochelle, NY 10804 | Architect | 2018-08-01 ~ 2019-07-31 |
| Eileen N Kelly | 96 Pryer Terr, New Rochelle, NY 10804 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Naava Ronit Abelow | 251 Rose Hill Ave, New Rochelle, NY 10804 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charles B Walsh | 39 Brookridge Rd., New Rochelle, NY 10804 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lori H Costa | 6 James Drive, New Rochelle, NY 10804 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10804 | |||
| City | NEW ROCHELLE |
| Zip Code | 10804 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW ROCHELLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mordechai Groner | 3639 Davis St, Skokie, IL 60076-1742 | Physician/surgeon | 2016-08-17 ~ 2017-06-30 |
| Yehudit Luckman | Mordechai, Ramat Hasharon, 47441 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Kenneth L Sacks | 790 Boylston St Apt 25b, Boston, MA 02199-7925 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Herbert S Sacks | 260 Riverside Ave, Westport, CT 06880 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Jeffrey Sacks | 15 Woodland Road, Mt Kisco, NY 10549 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| William B Sacks | 155 Brewster Street, Bridgeport, CT 06605 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| 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 |
| Mordechai Chetrit | 630 9th Ave Ste 408, New York, NY 10036-4750 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Mordechai Genut | 143 Columbia Blvd, Waterbury, CT 06710-1706 | Acupuncturist | 2015-03-26 ~ 2017-02-28 |
Please comment or provide details below to improve the information on MORDECHAI SACKS.
| 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).