ALICIA C SZOSTAK (Credential# 1805476) 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.
ALICIA C SZOSTAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004698. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 40 Ashley Ln, Colchester, CT 06415-1642. The current status is active.
| Licensee Name | ALICIA C SZOSTAK |
| Credential ID | 1805476 |
| Credential Number | 23.004698 |
| Credential Type | Physician Assistant |
| Business Address |
40 Ashley Ln Colchester CT 06415-1642 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1303961 | 70.019448 | Emergency Medical Technician | 2015-08-18 | 2017-07-14 - 2021-03-31 | ACTIVE |
| 1806469 | CSP.0072781 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-11-15 | 2019-11-15 - 2021-02-28 | ACTIVE |
| Street Address | 40 ASHLEY LN |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-1642 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Garon | 60 Ashley Ln, Colchester, CT 06415-1642 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| Tara E Connor | 20 Ashley Ln, Colchester, CT 06415-1642 | Hairdresser/cosmetician | 2020-01-01 ~ 2021-12-31 |
| Michaela R Hanson | 75 Ashley Ln, Colchester, CT 06415-1642 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Quinn Painting LLC | 19 Ashley Ln, Colchester, CT 06415-1642 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Erica R Sjovall | 39 Ashley Ln, Colchester, CT 06415-1642 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Shattuck | 66 South Road, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Linda Smith · Lamb | 25 Loomis Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Vincent Vespa Jr | 671 Norwich Ave, Colchester, CT 06415 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Deborah L Strong · Bowen | 98 Lebanon Avenue, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lucy A Boisse | 115 Stanavage Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Alicia R Bohnenkamper | 906 Canterbury Lane, Colchester, CT 06415 | Notary Public Appointment | 2011-09-28 ~ 2016-09-30 |
| Anna M Sofia | 75 B Elmwood Heights, Colcheshter, CT 06415 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J J Noels Supermarket | 15 Broadway, Colchester, CT 06415 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Linda S Kvasnik | 69 Colburn Dr, Colchester, CT 06415 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| James W Bansemer · General Builders & Remodelers | 87 O'connell Road, Colchester, CT 06415 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Find all Licenses in zip 06415 | |||
| City | COLCHESTER |
| Zip Code | 06415 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + COLCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia M. Wills Pa-c | 39 Ives St Unit 504, Hamden, CT 06518-2240 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
| Alicia Maria Gettel | 219 High St, Milford, CT 06460-3250 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Alicia K Beardsley | 6 Douglass Road, Hyde Park, NY 12538 | Physician Assistant | ~ |
| Thomas W Szostak | 26 Pratte Ave, Taftville, CT 06380-1014 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Nancie J Szostak | 36 Rockridge Road, Westerly, RI 02891 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Patrycja E Szostak | 17 Lindros Lane, Waterford, CT 06385 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Alicia G Cavanagh | P.o. Box # 409, Mansfield, CT 06250 | Occupational Therapist Assistant | 2005-07-26 ~ 2007-07-31 |
| Alicia G Pierson | 485 S Broadway Apt 16, Lawrence, MA 01843-3660 | Physical Therapist Assistant | 2015-12-01 ~ 2016-11-30 |
| Alicia A Manica | 66 Orchard St, Greenfield, MA 01301-3014 | Physical Therapist Assistant | 2014-09-01 ~ 2015-08-31 |
| Alicia L Iafrate | 58 Shea Ave, Milford, CT 06460-6166 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
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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).