ANTHONY JOSEPH BOGUSLAWSKI (Credential# 1596776) 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.
ANTHONY JOSEPH BOGUSLAWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004280. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 3 Farmstead Lane, Farmington, CT 06032. The current status is active.
| Licensee Name | ANTHONY JOSEPH BOGUSLAWSKI |
| Credential ID | 1596776 |
| Credential Number | 23.004280 |
| Credential Type | Physician Assistant |
| Business Address |
3 Farmstead Lane Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-15 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1596868 | CSP.0069449 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3 Farmstead Lane |
| City | Farmington |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary F Antigiovanni | 3 Farmstead Lane, Farmington, CT 06032 | Emergency Medical Technician | 2008-11-28 ~ 2012-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | Farmington |
| Zip Code | 06032 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Santoro Pa | St Joseph Medical Ctr Surgery, Stamford, CT 06904 | Physician Assistant | 2004-11-01 ~ 2005-09-30 |
| Anthony J Maselli Pa | 9 W Broadway, Boston, MA 02127-1039 | Physician Assistant | 2014-12-01 ~ 2015-11-30 |
| Anthony Pazienza Pa-c | 27 Masthead Dr, Norwell, MA 02061 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Anthony J Vannucci | 5c Pineview Dr, Branford, CT 06405-2430 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Edward Anthony Pacitti | 142 Ely Ave, West Springfield, MA 01089-2286 | Physician Assistant | ~ |
| Anthony G Huff Pa-c | 2 Center Street, Newark, NJ 07102-4100 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Anthony D Piland Sr | Po Box 1484, West Tisbury, MA 02575-1484 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Anthony Salvo | 72 Tripp St, Bedford Corners, NY 10549-4624 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
| Anthony J Pandolfo | 20 Sunset Avenue, Pawling, NY 12564 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Anthony J Labadia | 141 Lexington Street, Bristol, CT 06010 | Physician Assistant | 1997-02-26 ~ 1998-04-30 |
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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).