FAOUZI HAGE PA
Physician Assistant


Address: 22 Colony Rd, East Lyme, CT 06333-1315

FAOUZI HAGE PA (Credential# 742216) 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.

Business Overview

FAOUZI HAGE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000467. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 22 Colony Rd, East Lyme, CT 06333-1315. The current status is active.

Basic Information

Licensee Name FAOUZI HAGE PA
Credential ID 742216
Credential Number 23.000467
Credential Type Physician Assistant
Business Address 22 Colony Rd
East Lyme
CT 06333-1315
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1994-12-30
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-27

Other licenses

ID Credential Code Credential Type Issue Term Status
164144 CSP.0023175 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE
855495 70.850989 Emergency Medical Technician 1985-06-01 - 1991-06-30 INACTIVE

Office Location

Street Address 22 COLONY RD
City EAST LYME
State CT
Zip Code 06333-1315

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Karen Emergency Relief Fund Inc. 26 Colony Road, East Lyme, CT 06333-1315 Public Charity-exempt From Financial Requirements ~

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Brittany Pearson 6201 Maple Tree Lane, East Lyme, CT 06333 Behavior Analyst ~
Aura M Serdici 7 Ferro Dr, East Lyme, CT 06333 Esthetician ~
Lawrence J Darling Jr · Darling Carpentry 61 Mostowy Rd, East Lyme, CT 06333 Home Improvement Contractor 2020-06-19 ~ 2020-11-30
Sandeep B Varma 30 Plum Hill Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Peter J Famiglietti Md 339 Flanders Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Beth A Stoddard 8 Greentree Drive, East Lyme, CT 06333 Registered Nurse 2020-07-01 ~ 2021-06-30
Scott's Yankee Farmer 291 N Bride Brook Rd, East Lyme, CT 06333 Apple Juice & Cider Manufacturer 2020-07-01 ~ 2021-06-30
Katherine E Whalen 339 Flanders Rd Ste 109, East Lyme, CT 06333 Physician/surgeon 2020-08-01 ~ 2021-07-31
May L Diep 88 Arbor Crossing, East Lyme, CT 06333 Nail Technician ~
Cash True Value 300 Flanders Rd, East Lyme, CT 06333 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City EAST LYME
Zip Code 06333
License Type Physician Assistant
License Type + County Physician Assistant + EAST LYME

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Rafka S Hage 13 Edgewood Ave, Waterford, CT 06385-2032 Pharmacy Technician 2017-04-01 ~ 2018-03-31
Vivianne M Hage 70 Stoneheights Drive, Waterford, CT 06385 Registered Nurse 2019-08-01 ~ 2020-07-31
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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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