MARY F MASAYDA (Credential# 1359919) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MARY F MASAYDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003617. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 131 Hard Rock Rd, Watertown, CT 06795-1551. The current status is active.
| Licensee Name | MARY F MASAYDA |
| Credential ID | 1359919 |
| Credential Number | 23.003617 |
| Credential Type | Physician Assistant |
| Business Address |
131 Hard Rock Rd Watertown CT 06795-1551 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-07 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1366335 | CSP.0063505 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1043381 | 70.014575 | Emergency Medical Technician | 2011-12-08 | 2011-12-08 - 2014-06-30 | INACTIVE |
| Street Address | 131 HARD ROCK RD |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795-1551 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annmarie Masayda | 131 Hard Rock Rd, Watertown, CT 06795-1551 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Michael E Masayda | 131 Hard Rock Rd, Watertown, CT 06795 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Susan T Masayda | 131 Hard Rock Rd, Watertown, CT 06795 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Rebecca Masayda | 131 Hard Rock Rd, Watertown, CT 06795-1551 | Speech and Language Pathologist Temporary Permit | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joann Elizabeth Murray | 145 Hard Rock Rd, Watertown, CT 06795-1551 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Robert Marini · Marini Paving & Sealcoating | 111 Hard Rock Rd, Watertown, CT 06795-1551 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taylor Mia Lundy | 265 Kimberly Ln, Watertown, CT 06795 | Registered Nurse | 2020-06-27 ~ 2020-11-30 |
| Judith A Hill | 23 Malvern Hill Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carol Mancini Dumond | 57 Bryant, Watertown, CT 06795 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Michelle J Stankus | 119 Edge Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Linda Z Terenzo · Grella | 215 Claxton Ave., Watertown, CT 06795 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Egbrid T30 Pr 9358 | 856 Echo Lake Rd, Watertown, CT 06795 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Ana L Guaman | 1278 Main Street Ste 4, Watertown, CT 06795 | Nail Technician | ~ |
| Eric A Tymula | 727 Park Rd, Watertown, CT 06795 | Tattoo Technician | 2020-03-01 ~ 2022-02-28 |
| Margaret A Chilson | 259 Litchfield Road, Watertown, CT 06795 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
| Laura L Rock | 187 Georgetown Drive, Watertown, CT 06795 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06795 | |||
| City | WATERTOWN |
| Zip Code | 06795 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WATERTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Mary Holmes Pa | 188 Woodhaven, Glastonbury, CT 06033 | Physician Assistant | 2002-03-12 ~ 2003-04-30 |
| Mary M Kelley | 25 Chestnut St, Rockville, CT 06066 | Physician Assistant | 2000-03-15 ~ 2001-05-31 |
| Mary A Gunn | 40 Prospect St, Norwalk, CT 06850 | Physician Assistant | 1994-03-14 ~ 1994-09-30 |
| Mary B Mcchrystal Pa | 419 Fountain St, New Haven, CT 06515 | Physician Assistant | 2003-05-02 ~ 2004-06-30 |
| Mary E Fleming | 40 Prospect St. #2-3h, Norwalk, CT 06850 | Physician Assistant | 2004-09-15 ~ 2004-10-31 |
| Mary K Ferguson | 96 Straffordshire, Wallingford, CT 06492 | Physician Assistant | 1981-01-01 ~ 1994-06-30 |
| Mary E Finan Pa | 65 Gilman St, Bridgeport, CT 06605 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mary E Summers | 550 Nut Plains Rd, Guilford, CT 06437 | Physician Assistant | 1999-11-23 ~ 2000-12-31 |
| Mary P Zayas | 9 Pioneer Dr, Copake, NY 12516 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
Please comment or provide details below to improve the information on MARY F MASAYDA.
| 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).