JEENA KUTTIYARA (Credential# 1610175) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JEENA KUTTIYARA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004355. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 680 Sherman Ave, Thornwood, NY 10594-1427. The current status is active.
| Licensee Name | JEENA KUTTIYARA |
| Credential ID | 1610175 |
| Credential Number | 23.004355 |
| Credential Type | Physician Assistant |
| Business Address |
680 Sherman Ave Thornwood NY 10594-1427 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-17 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1621099 | CSP.0070006 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-12-19 | 2018-12-19 - 2021-02-28 | ACTIVE |
| Street Address | 680 SHERMAN AVE |
| City | THORNWOOD |
| State | NY |
| Zip Code | 10594-1427 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Kennedy | 50 Orchard Street, Thornwood, NY 10594 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paulette Dimovski | 59 Kensico Road, Thornwood, NY 10594 | Architect | 2020-08-01 ~ 2021-07-31 |
| Meejin Shim | 788 Warren Ave, Thornwood, NY 10594 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kimberly J Acevedo | 268 Westchester Ave, Thornwood, NY 10594 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Joann Picarillo | 39 Virginia Lane, Thornwood, NY 10594 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Heather Grace Purvis | 1 High Hill Farm Place, Thornwood, NY 10594 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Adrian L Muller · Hudson View Appraisals, LLC | 75 Eton Rd, Thornwood, NY 10594 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Denise M Zambardi | 148 Arnold Place, Thornwood, NY 10594 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Anthony J Crecco | 871 Commerce Street, Thornwood, NY 10594 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Michelle Chiriani | 66 Westlake Dr, Thornwood, NY 10594 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10594 | |||
| City | THORNWOOD |
| Zip Code | 10594 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + THORNWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeena V Eapen | 9 Catalpa Court, Bardonia, NY 10954 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Jeena An Bailey | 6089 Skylark Rd, Pfafftown, NC 27040-7414 | Registered Nurse | 2020-01-10 ~ 2020-11-30 |
| Jeena Kurian Thomas | 15 April Dr, New Milford, CT 06776-3055 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jeena J Choi | 98 Deer Run Rd, Wilton, CT 06897-1206 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| 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 |
| Jeena E Jacob | 900 Chapel Street Apartment 203, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
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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).