GABRIELA CORNEJO (Credential# 742338) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2002. The license expiration date date is July 31, 2003. The license status is INACTIVE.
GABRIELA CORNEJO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000589. The credential type is physician assistant. The effective date is June 18, 2002. The expiration date is July 31, 2003. The business address is 883 Centennial Ave, Baldwin, NY 11510. The current status is inactive.
| Licensee Name | GABRIELA CORNEJO |
| Credential ID | 742338 |
| Credential Number | 23.000589 |
| Credential Type | Physician Assistant |
| Business Address |
883 Centennial Ave Baldwin NY 11510 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-08-16 |
| Effective Date | 2002-06-18 |
| Expiration Date | 2003-07-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 883 CENTENNIAL AVE |
| City | BALDWIN |
| State | NY |
| Zip Code | 11510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie M Alexandre | 3100 Grand Boulevard, Baldwin, NY 11510 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
| Rohan Lundy | 785 Grand Terrace Avenue, Baldwin, NY 11510 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Amanda Zelinski | 3422 Bay Front Drive, Baldwin, CT 11510 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Mary D Carter | 3 Colonial Pl, Baldwin, NY 11510 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Demetris Pavlou | 475 Bedell St, Baldwin, NY 11510 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Hannibal Miles | 1240 Village Ave, Baldwin, NY 11510 | Naturopathic Physician | 2019-12-01 ~ 2020-11-30 |
| Diane J Delaney | 11 Bay Front Place, Baldwin, NY 11510 | Notary Public Appointment | 2016-08-05 ~ 2021-08-31 |
| Michael F Callaghan | 2705 First Place, Baldwin, NY 11510 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Tracy-ann M Clarke-leconte | 1598 Glenmore Street, North Baldwin, NY 11510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martine Debrosse Campbell | 732 Allwyn Street, Baldwin, NY 11510 | Master's Level Social Worker | 2019-03-01 ~ 2020-02-29 |
| Find all Licenses in zip 11510 | |||
| City | BALDWIN |
| Zip Code | 11510 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BALDWIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriela Vargas | 8 Moscariello Pl Apt B, Norwalk, CT 06854-4278 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Gabriela Shelley | 306 Audubon Court, New Haven, CT 06510 | Physician/surgeon | 1993-01-25 ~ 1994-02-28 |
| Gabriela Beroukhim | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gabriela Zagarodne Spilberg Missine | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-06-10 ~ 2021-05-31 |
| Gabriela Aurora Aguilar | 40 Temple Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gabriela Cepeda De Jesus | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Gabriela Ashe Hayes | 34 Maple Street, Norwalk, CT 06856 | 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 |
| Zasha Cornejo | 27 Pequot Dr, Stamford, CT 06902-6438 | Hairdresser/cosmetician | 2018-04-01 ~ 2020-03-31 |
Please comment or provide details below to improve the information on GABRIELA CORNEJO.
| 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).