KENNETH P BOCCACCIO
Physician Assistant


Address: 1006 Heahwood Dairy, Apex, NC 27502

KENNETH P BOCCACCIO (Credential# 742155) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 21, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.

Business Overview

KENNETH P BOCCACCIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000406. The credential type is physician assistant. The effective date is June 21, 1996. The expiration date is June 30, 1997. The business address is 1006 Heahwood Dairy, Apex, NC 27502. The current status is inactive.

Basic Information

Licensee Name KENNETH P BOCCACCIO
Credential ID 742155
Credential Number 23.000406
Credential Type Physician Assistant
Business Address 1006 Heahwood Dairy
Apex
NC 27502
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-12-17
Effective Date 1996-06-21
Expiration Date 1997-06-30
Refresh Date 2009-07-08

Office Location

Street Address 1006 HEAHWOOD DAIRY
City APEX
State NC
Zip Code 27502

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Edward T Mcmurray 105 Erlwood Ct, Apex, NC 27502 Professional Engineer 2020-02-01 ~ 2021-01-31
Mustapha Raha 1421 Barn Door Dr, Apex, NC 27502 Professional Engineer 2020-02-01 ~ 2021-01-31
Eric C Rantanen 1302 Hilt Ct, Apex, NC 27502 Professional Engineer 2020-02-01 ~ 2021-01-31
Nicholas A Caronna 1523 Ingraham Drive, Apex, NC 27502 Professional Engineer 2015-02-01 ~ 2016-01-31
Gregory A Mills 1104 Smokewood Dr, Apex, NC 27502 Professional Engineer 1800-12-27 ~ 1990-01-31
Paul J Harry 6630 Lewey Drive, Apex, NC 27502 Professional Engineer 2002-02-01 ~ 2003-01-31
Paul T Bartlett 315 Grassy Point Rd, Apex, NC 27502 Professional Engineer 2004-02-01 ~ 2005-01-31
Robert J Stevenson 201 Country Vally Ct, Apex, NC 27502 Professional Engineer 2008-02-01 ~ 2009-01-31
Rebecca L Carlson 404 Homestead Park Drive, Apex, NC 27502 Registered Nurse 2014-06-04 ~ 2014-11-30
Michael Anton Griska 400 Trelawney La, Ape, NC 27502 Certified Public Accountant Certificate ~
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Competitor

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City APEX
Zip Code 27502
License Type Physician Assistant
License Type + County Physician Assistant + APEX

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Dataset Information

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).

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