KATHERINE VICTORIA SALVADOR (Credential# 1452699) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KATHERINE VICTORIA SALVADOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003995. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 32 Fairfax Ave, West Hartford, CT 06119-2003. The current status is active.
Licensee Name | KATHERINE VICTORIA SALVADOR |
Credential ID | 1452699 |
Credential Number | 23.003995 |
Credential Type | Physician Assistant |
Business Address |
32 Fairfax Ave West Hartford CT 06119-2003 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-10-27 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1458669 | CSP.0067029 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-10-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 32 FAIRFAX AVE |
City | WEST HARTFORD |
State | CT |
Zip Code | 06119-2003 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul James Mccarthy | 40 Fairfax Ave, West Hartford, CT 06119-2003 | Radiographer | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
Find all Licenses in zip 06119 |
City | WEST HARTFORD |
Zip Code | 06119 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas A Salvador | 435 Lewis Avenue, Meriden, CT 06451 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Victoria Verrengia | 66 Montgomery Dr, Plymouth, MA 02360-5268 | Physician Assistant | ~ |
L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
Victoria M Sullivan | 93 Lacey Rd, Bethany, CT 06524-3021 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Victoria K Smith Pa | 75 Railroad Ave Apt 2k, Milford, CT 06460-9206 | Physician Assistant | 2014-12-01 ~ 2015-11-30 |
Emily Warden | 137 Victoria Dr, Madison, AL 35758 | Physician Assistant | 2017-04-03 ~ 2018-04-30 |
Victoria P Furnelli Pa | 104 Hillcrest Ave, Longmeadow, MA 01106 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Teresa A Thetford Pa-c | 70 Victoria Lawn, Stratford, CT 06615-7849 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
Victoria L Maxwell Pa | 823 Williams Street, Pittsfield, MA 01201 | Physician Assistant | 2003-07-01 ~ 2004-06-30 |
Katherine S O'connor | 131 Redlands St, Springfield, MA 01104-2911 | Physician Assistant | 2012-11-21 ~ 2013-11-30 |
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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).