WAYNE M PEROSKY (Credential# 742959) 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.
WAYNE M PEROSKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001210. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 132 Krapf Rd, Ashford, CT 06278. The current status is active.
| Licensee Name | WAYNE M PEROSKY |
| Credential ID | 742959 |
| Credential Number | 23.001210 |
| Credential Type | Physician Assistant |
| Business Address |
132 Krapf Rd Ashford CT 06278 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-07-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 316394 | CSP.0032554 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-08-01 | 2019-03-08 - 2021-02-28 | ACTIVE |
| 867437 | 70.950117 | Emergency Medical Technician | 1994-12-15 | - 1996-12-31 | INACTIVE |
| Street Address | 132 KRAPF RD |
| City | ASHFORD |
| State | CT |
| Zip Code | 06278 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amber I Cote | 355 Ashford Center Rd, Ashford, CT 06278 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie C Desjarlais | 288 Turnpike Rd, Ashford, CT 06278 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica S Kallio | 149 Ashford Center Rd Apt C3, Ashford, CT 06278 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Eileen F Lynch-james | 10 Lakeview Dr, Ashford, CT 06278 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Debra Anne Crivello | 129 Varga Road, Ashford, CT 06278 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Steven R Jacobs | Box 194, Ashford, CT 06278 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Kelly Sargenti | 7 Horse Hill Rd, Ashford, CT 06278 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2021-07-31 |
| Tracy A Will · Chase | 436 Turnpike Road, Ashford, CT 06278 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Thomas J Greninger | 216 Ledegmere Apts, Ashford, CT 06278 | Engineer-in-training | 1982-07-15 ~ 1992-07-15 |
| Kathleen G Freeman · Batter | 138 Squaw Hollow Road, Ashford, CT 06278 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06278 | |||
| City | ASHFORD |
| Zip Code | 06278 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + ASHFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karishma Aggarwal | 45 Holyoke Rd, Wayne, NJ 07470-2087 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Daniel J Tucker | 187 Wayne St, Jersey City, NJ 07302 | Physician Assistant | 1997-09-24 ~ 1998-09-30 |
| Wayne Sizemore Pa | Shorline Clinic, Clinton, CT 06413 | Physician Assistant | 2000-06-21 ~ 2001-08-31 |
| Robert S Perosky | 2006 Wiley St, Hollywood, FL 33020 | Electrical Unlimited Contractor | ~ |
| Wayne Gilbertie Md · Radiology & Imaging | Wayne Gilbertie, Md, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| 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 |
| Wayne C Croyle | 135 Dove St. #1a, Albany, NY 12202 | Physical Therapist Assistant | 2005-01-19 ~ 2006-11-01 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Wayne R Blair | #9 Robin Road, Kinderhook, NY 12106 | Physical Therapist Assistant | 2003-07-01 ~ 2006-11-01 |
| Wayne J Pescatello | 4538 Pinehurst Greens Ct, Estero, FL 33928-5910 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on WAYNE M PEROSKY.
| 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).