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.
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.
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 |
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 |
Street Address | 22 COLONY RD |
City | EAST LYME |
State | CT |
Zip Code | 06333-1315 |
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 | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 06333 |
City | EAST LYME |
Zip Code | 06333 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + EAST LYME |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pierre Hage Md | Women's Health Ct, Bridgeport, CT 06606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Georgette Hage · Lee | 5 Forestview Dr, Norwich, CT 06360-7523 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
Susan M Hage | 13 Edgewood Ave, Waterford, CT 06385-2032 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
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 |
Halim J Hage | 173 S Broad St, Pawcatuck, CT 06379-1920 | Emergency Medical Responder | 2019-10-01 ~ 2022-09-30 |
Dominic Hage | 7 Twin Lakes Dr, Waterford, CT 06385-4111 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Mark A Hage | 860 United Nations Plz Apt 22b, New York, NY 10017-1817 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
Please comment or provide details below to improve the information on FAOUZI HAGE 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).