FATBARDHA SHALA (Credential# 1385019) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 17, 2017. The license expiration date date is June 30, 2017. The license status is INACTIVE.
FATBARDHA SHALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003788. The credential type is physician assistant. The effective date is February 17, 2017. The expiration date is June 30, 2017. The business address is 3 Fieldstone Drive, Hartsdal, NY 10530. The current status is inactive.
Licensee Name | FATBARDHA SHALA |
Credential ID | 1385019 |
Credential Number | 23.003788 |
Credential Type | Physician Assistant |
Business Address |
3 Fieldstone Drive Hartsdal NY 10530 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2017-02-17 |
Effective Date | 2017-02-17 |
Expiration Date | 2017-06-30 |
Refresh Date | 2017-10-03 |
Street Address | 3 FIELDSTONE DRIVE |
City | HARTSDAL |
State | NY |
Zip Code | 10530 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas L Faustini | 6 Burns Street, Hartsdale, NY 10530 | Architect | 2020-08-01 ~ 2021-07-31 |
John C Douglas | 141 North Central Avenue, Hartsdale, NY 10530 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Delali A Goka | 62 Chaucer St, Hartsdale, NY 10530 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Bennie Chiles | Westchester Spine and Brain Surgery, Hartsdale, NY 10530 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Adele Lasorsa | 47 North Central Avenue Apt 1 I, Hartsdale, NY 10530 | Notary Public Appointment | 2015-03-23 ~ 2020-03-31 |
Barbara U Zakrzewski | 32 Wood End Rd, Hartsdale, NY 10530 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
Aries Deitch & Endelson Inc | 110 South Central Ave, Hartsdale, NY 10530 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Alexa Olimpio | 82 Rocklege Rd Apt. 82 M, Hartsdale, NY 10530 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
Martin Ozer | 100 High Point Drive Apt 703, Hartsdale, CT 10530 | Tax Preparer/facilitator Permit | 2020-02-26 ~ 2022-02-28 |
Martha M Elliott | 125 N Washington Ave, Hartsdale, NY 10530 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10530 |
City | HARTSDAL |
Zip Code | 10530 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + HARTSDAL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ismet Shala · Shala Building & Remodeling | 48 Roosevelt Ave, Stamford, CT 06902 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
Fatbardha Cezmalli | 20 Livingston St, Wethersfield, CT 06109-1231 | Family Child Care Home | 2018-04-12 ~ 2022-04-30 |
Fatbardha Kodzodziku | 22 Pleasant Hill Rd, Newtown, CT 06470-1721 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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 |
Ismet Shala | 121 S Highland Ave Apt 3l, Ossining, NY 10562-5852 | Dental Hygienist | 2012-01-04 ~ 2013-01-31 |
Shala A Kisling | 11 Carls Ln, New Milford, CT 06776-5136 | Massage Therapist | 2019-10-01 ~ 2021-09-30 |
Jeton Shala | 56 Leonard Street, Manhattan, NY 10013 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Shala L Pelloni | P.o. Box 1623, Westerly, RI 02891 | Emergency Medical Technician | ~ 1999-04-01 |
Shala Lovett | 52 Gilyard Dr., Waterbury, CT 06708 | Medication Administration Certification | 2019-07-19 ~ 2021-07-19 |
Shala Assadi | 33 Orchard Street, Stonington, CT 06378 | Medication Administration Certification | 2020-01-13 ~ 2022-01-13 |
Please comment or provide details below to improve the information on FATBARDHA SHALA.
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).