ANDREW DECUSATI (Credential# 1429046) 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.
ANDREW DECUSATI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003893. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 22 Carolyn Ct, North Haven, CT 06473-4003. The current status is active.
| Licensee Name | ANDREW DECUSATI |
| Credential ID | 1429046 |
| Credential Number | 23.003893 |
| Credential Type | Physician Assistant |
| Business Address |
22 Carolyn Ct North Haven CT 06473-4003 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-18 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1437961 | CSP.0066307 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-07-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1223073 | 70.017597 | Emergency Medical Technician | 2014-05-16 | 2014-05-16 - 2016-03-31 | INACTIVE |
| Street Address | 22 CAROLYN CT |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-4003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annette D Sauerbrunn | 6 Carolyn Court, North Haven, CT 06473-4003 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Latasha Y Archibald | 14 Carolyn Ct, North Haven, CT 06473-4003 | Professional Counselor | 2019-09-01 ~ 2020-08-31 |
| Kristin A Vollero | 20 Carolyn Ct, North Haven, CT 06473-4003 | Real Estate Salesperson | 2009-07-24 ~ 2010-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew J Decusati | 448 Clintonville Rd, North Haven, CT 06473 | Crane Operator | 1996-10-01 ~ 1998-09-30 |
| Andrew J Decusati Jr. | 22 Carolyn Court, North Haven, CT 06473 | Emergency Medical Responder | 2001-12-11 ~ 2003-07-01 |
| Deborah Decusati | 1 Giant View Road, Wallingford, CT 06492 | Family Child Care Assistant | 1996-02-28 ~ 1996-02-28 |
| Andrew Jon Mccarthy | 719 Craigville Rd, Chester, NY 10918-4016 | Physician Assistant | ~ |
| Andrew G Baginski Pa | 355 Middletown Ave, Wethersfield, CT 06109-3804 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Andrew Kalmanson | 40 Old Ridgebury Rd Ste 101, Danbury, CT 06810-5119 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Andrew R Mckay | 92 Plains Rd Apt E-126, Milford, CT 06461 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Andrew P Meiman | 22 Canterbury Dr, Durham, CT 06422-2500 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Andrew Pietris | Afc Urgent Care, Yorktown Hts, NY 10598 | Physician Assistant | ~ |
| Andrew L Yale | 32 Booth Hill Rd, Trumbull, CT 06611 | Physician Assistant | 1996-10-07 ~ 1997-11-30 |
Please comment or provide details below to improve the information on ANDREW DECUSATI.
| 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).