MARY P ZAYAS (Credential# 1330197) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.
MARY P ZAYAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003540. The credential type is physician assistant. The effective date is April 1, 2018. The expiration date is March 31, 2019. The business address is 9 Pioneer Dr, Copake, NY 12516. The current status is inactive.
Licensee Name | MARY P ZAYAS |
Credential ID | 1330197 |
Credential Number | 23.003540 |
Credential Type | Physician Assistant |
Business Address |
9 Pioneer Dr Copake NY 12516 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2016-03-01 |
Effective Date | 2018-04-01 |
Expiration Date | 2019-03-31 |
Refresh Date | 2019-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1336999 | CSP.0062196 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-03-03 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 9 PIONEER DR |
City | COPAKE |
State | NY |
Zip Code | 12516 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michelle T Germann | 443 Center Hill Rd, Copake, NY 12516 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
Theresa P Sullivan | 513 Pine Road, Copake, NY 12516 | Audiologist | 2020-05-01 ~ 2021-04-30 |
Paul A Taylor | 91 Lake Shore Drive, Copake, NY 12516 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Dawn E Evans | 118 Washington Road, Copake, NY 12516 | Notary Public Appointment | 2002-02-07 ~ 2007-02-28 |
Mairead C Fogarty | 5 Park View Court, Unit West, Copake, NY 12516 | Notary Public Appointment | 2017-08-31 ~ 2022-08-31 |
Cynthia M Schermerhorn | 22 Park Side Drive, Copake, NY 12516 | Dental Hygienist | 2019-12-01 ~ 2020-11-30 |
Alan R Boeding · Alan R. Boeding's Service | 15 Fairview Dr, Copake, NY 12516 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
Richard S Preti · Richard S Preti General Contracting | 2570 County Route 7, Copake, NY 12516 | Home Improvement Contractor | 2013-01-14 ~ 2013-11-30 |
Mary Lou Jensen | Box 421, Copake, NY 12516 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
Patricia H Westfall | 7504 Rt 22, Copake, NY 12516 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
Find all Licenses in zip 12516 |
City | COPAKE |
Zip Code | 12516 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + COPAKE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jose Zayas · Jose Zayas Painting | 20 High St, New Milford, CT 06776 | Home Improvement Contractor | 2000-12-13 ~ 2001-11-30 |
Mary E Fleming | 40 Prospect St. #2-3h, Norwalk, CT 06850 | Physician Assistant | 2004-09-15 ~ 2004-10-31 |
Mary B Mcchrystal Pa | 419 Fountain St, New Haven, CT 06515 | Physician Assistant | 2003-05-02 ~ 2004-06-30 |
Mary M Kelley | 25 Chestnut St, Rockville, CT 06066 | Physician Assistant | 2000-03-15 ~ 2001-05-31 |
Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
Mary A Gunn | 40 Prospect St, Norwalk, CT 06850 | Physician Assistant | 1994-03-14 ~ 1994-09-30 |
Mary K Ferguson | 96 Straffordshire, Wallingford, CT 06492 | Physician Assistant | 1981-01-01 ~ 1994-06-30 |
Mary Holmes Pa | 188 Woodhaven, Glastonbury, CT 06033 | Physician Assistant | 2002-03-12 ~ 2003-04-30 |
Mary L Warner | 7 Alden Ave, New Haven, CT 06515-2712 | Physician Assistant | 2013-08-01 ~ 2014-07-31 |
Kaitlyn Mary Roseman | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-04-03 ~ 2020-11-30 |
Please comment or provide details below to improve the information on MARY P ZAYAS.
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).