EDWARD ZASLAVSKY PA (Credential# 742235) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 17, 2006. The license expiration date date is September 30, 2007. The license status is INACTIVE.
EDWARD ZASLAVSKY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000486. The credential type is physician assistant. The effective date is October 17, 2006. The expiration date is September 30, 2007. The business address is 130 Diana Rd, Plantsville, CT 06479-1307. The current status is inactive.
| Licensee Name | EDWARD ZASLAVSKY PA |
| Credential ID | 742235 |
| Credential Number | 23.000486 |
| Credential Type | Physician Assistant |
| Business Address |
130 Diana Rd Plantsville CT 06479-1307 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-01-20 |
| Effective Date | 2006-10-17 |
| Expiration Date | 2007-09-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163438 | CSP.0022991 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 130 DIANA RD |
| City | PLANTSVILLE |
| State | CT |
| Zip Code | 06479-1307 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline E Muroski | 100 Diana Rd, Plantsville, CT 06479-1307 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jasmin A Beeney | 176 Diana Rd, Plantsville, CT 06479-1307 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Slonus | 9 Wilbur St, Plantsville, CT 06479 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann-kristin Friedrich | 77 Carter Lane, Plantsville, CT 06479 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trevor Steskla | 1157 Marion Ave, Plantsville, CT 06479 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Rebecca L Fernandes | 29 Fleetwood Rd, Plantsville, CT 06479 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pawan K Karanam | 33 Hubeny Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Charles A Moss | 105 Roxbury Rd, Plantsville, CT 06479 | Architect | 2020-08-01 ~ 2021-07-31 |
| Marceille M Crookes | 30 Hillside Ave, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Lino L Gelada | 221 Burritt Street, Plantsville, CT 06479 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tony's Restaurant & Pizza Palace | 1315 Meriden Wtby Rd, Plantsville, CT 06479 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Richard Oulundsen II | 924 Prospect Street, Plantsville, CT 06479 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06479 | |||
| City | PLANTSVILLE |
| Zip Code | 06479 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PLANTSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles Edward | 99 26 193 St, Hollis, NY 11423-3216 | Physician Assistant | 2011-12-12 ~ 2012-08-31 |
| Edward A Ranzenbach Pa-c | 30 Shelburne Rd #e-4, Stamford, CA 06904 | Physician Assistant | 2011-02-01 ~ 2012-01-31 |
| Edward Anthony Pacitti | 142 Ely Ave, West Springfield, MA 01089-2286 | Physician Assistant | ~ |
| Sean Edward Hoffman | 311 E Main St, Westfield, MA 01085-3307 | Physician Assistant | 2020-05-01 ~ 2021-05-31 |
| Edward Z Jaroszewski | 24 Northfield, West Hartford, CT 06107 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Kyle Edward Adams | 31 Puttker Road, North Stonington, CT 06359 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Natalia Zaslavsky | 1166 Mt Vernon Rd, Southington, CT 06489 | Radiographer | 2019-11-01 ~ 2020-10-31 |
| 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 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
Please comment or provide details below to improve the information on EDWARD ZASLAVSKY 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).