CARLOS ENRIQUE FARIA (Credential# 1787918) 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.
CARLOS ENRIQUE FARIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004668. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 74 North St Apt 201, Pittsfield, MA 01201-5174. The current status is active.
Licensee Name | CARLOS ENRIQUE FARIA |
Credential ID | 1787918 |
Credential Number | 23.004668 |
Credential Type | Physician Assistant |
Business Address |
74 North St Apt 201 Pittsfield MA 01201-5174 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-10-21 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1800693 | CSP.0072659 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-10-23 | 2019-10-23 - 2021-02-28 | ACTIVE |
Street Address | 74 NORTH ST APT 201 |
City | PITTSFIELD |
State | MA |
Zip Code | 01201-5174 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shannon Maureen Carey | 74 North St Apt 201, Pittsfield, MA 01201-5174 | Controlled Substance Registration for Practitioner | 2020-04-09 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia R Gardner | 289 Pomeroy Avenue, Pittsfield, MA 01201 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
E D M Services Inc | 100 West Street Ste# 210, Pittsfield, MA 01201 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
Jeannine Huey | 24 Crystal St, Pittsfield, MA 01201 | Registered Nurse - Temporary | 2020-03-04 ~ 2020-07-02 |
Dawn Shepherd | 102 Dickinson Ave, Pittsfield, MA 01201 | Registered Nurse | ~ |
Brent M White | 8 Charisma Drive, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Seth E Bonacquisti | 20 Revilla Terr, Pittsfield, MA 01201 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
Frank J Paskowski Jr | 107 Clydesdale Dr, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Roy M Andersen Jr | 22 Revere Parkway, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Harley Keisch | 197 View Dr, Pittsfield, MA 01201 | Registered Nurse | 2019-12-04 ~ 2020-10-31 |
Robert E Post Jr | 233 Eleanor Road, Pittsfield, MA 01201 | Notary Public Appointment | 2019-10-15 ~ 2024-10-31 |
Find all Licenses in zip 01201 |
City | PITTSFIELD |
Zip Code | 01201 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + PITTSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carlos Enrique Encarnacion | 206 Castlebar Rd, Rochester, NY 14610-2914 | Physician/surgeon | 1987-04-10 ~ 1990-01-03 |
Carlos Enrique Riollano-bayouth | 142 Carmalt Rd, Hamden, CT 06517 | Psychologist | ~ |
Carlos Villarreal Pa | 40 Prospect Ave Apt 1-1e, Norwalk, CT 06850-3741 | Physician Assistant | 2010-05-01 ~ 2011-04-30 |
Isadora C Faria · Faria | 2 Governors Hill Rd, Oxford, CT 06478-1309 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Faria Lee LLC | 105 Bedford St, Stamford, CT 06901-1902 | Home Improvement Contractor | 2011-12-29 ~ 2012-11-30 |
Carlos Alberto Villarreal | 65 Ellsworth Street Apt 307, Bridgeport, CT 06605 | Physician Assistant | 2020-02-21 ~ 2020-10-31 |
Carlos Enrique Burgos | 200 Cold Spring Rd, Rocky Hill, CT 06067 | Emergency Medical Technician | ~ |
Saige Alexis Faria | 466 Green Hollow Rd, Danielson, CT 06239 | Occupational Therapist Assistant | 2019-12-12 ~ 2021-07-31 |
Enrique G Carrasquillo | 100 Parrott Dr, Shelton, CT 06484-4773 | Occupational Therapist Assistant | 2014-06-27 ~ 2015-07-31 |
Enrique Sierra | 199 Park St, Bridgeport, CT 06608-1637 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).