JOHN J MUSIAL PA (Credential# 741991) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.
JOHN J MUSIAL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000242. The credential type is physician assistant. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 638 Prospect St, New Haven, CT 06511. The current status is inactive.
| Licensee Name | JOHN J MUSIAL PA |
| Credential ID | 741991 |
| Credential Number | 23.000242 |
| Credential Type | Physician Assistant |
| Business Address |
638 Prospect St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-22 |
| Effective Date | 2014-11-01 |
| Expiration Date | 2015-10-31 |
| Refresh Date | 2016-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 337063 | CSP.0033388 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 638 PROSPECT ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Voytek | 15 East St, Wallingford, CT 06492-4005 | Physician Assistant | ~ |
| John Leach | Po Box 428, Ivoryton, CT 06442 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Audrey Douglas | 26 John St, Derby, CT 06418 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Courtney Sherman | 18 John Ct., Randolph, NJ 07869 | Physician Assistant | 2004-01-28 ~ 2004-09-30 |
| John D D'agata | 20 Country Ln, Windsor, CT 06095-3412 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| John J Roney | 33 Norwood Ave, Milford, CT 06460-7719 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| John M Glendening Jr | 369 Central Ave, New Haven, CT 06515 | Physician Assistant | 2002-02-01 ~ 2003-02-28 |
| John Connelly Pa | 25 Sprin St, Newington, CT 06111 | Physician Assistant | 2007-08-09 ~ 2008-09-30 |
| John D Mclean | 2 Oak Ridge Ave, Danbury, CT 06810 | Physician Assistant | 2008-03-07 ~ 2009-04-30 |
| Daniel John Kaplan | 28 Forster St, Hartford, CT 06106-4214 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on JOHN J MUSIAL PA.
| 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).