CHARLES J SEVERO (Credential# 1355566) 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.
CHARLES J SEVERO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003579. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 115 Beachland Avenue, Milford, CT 06460. The current status is active.
| Licensee Name | CHARLES J SEVERO |
| Credential ID | 1355566 |
| Credential Number | 23.003579 |
| Credential Type | Physician Assistant |
| Business Address |
115 Beachland Avenue Milford CT 06460 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1363646 | CSP.0063379 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1129395 | 70.015665 | Emergency Medical Technician | 2012-10-26 | 2012-10-26 - 2015-06-30 | INACTIVE |
| 1150799 | PTN.0014949 | PHARMACY TECHNICIAN | 2013-02-25 | 2013-02-25 - 2014-03-31 | INACTIVE |
| Street Address | 115 Beachland Avenue |
| City | Milford |
| State | CT |
| Zip Code | 06460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | Milford |
| Zip Code | 06460 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles Edward | 99 26 193 St, Hollis, NY 11423-3216 | Physician Assistant | 2011-12-12 ~ 2012-08-31 |
| Charles M Andola IIi Pa | 204 Wardwell St, Stamford, CT 06902-5247 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Charles Dupaix | 40 Prospect Ave Bldg #1 Apt 4-f, Norwalk, CT 06850-3737 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
| Janine J Zawisny | 159 Charles Ave, Staten Island, NY 10302 | Physician Assistant | 2010-01-13 ~ 2010-07-31 |
| Charles Joseph Braun Jr. | 103 Ash Street, Cortlandt Manor, NY 10567 | Physician Assistant | ~ |
| Charles A Engle | 9 Humber Hill Rd, Danbury, CT 06810-5172 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Charles Robert Barnes | 112 Baker St, Johnson City, NY 13790-1904 | Physician Assistant | 2016-07-21 ~ 2017-07-31 |
| Charles R Park | 1283 Whirlwind Hill Rd, Wallingford, CT 06492 | Physician Assistant | 2016-10-01 ~ 2017-09-30 |
| Charles Barnicoat Pa | 4483 Snowy Egret Drive, Naples, FL 34119 | Physician Assistant | 2011-02-01 ~ 2012-01-31 |
| 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 |
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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).