LOUIS P FAVATA
Physician Assistant


Address: 153 Erin Lane, Ludlow, MA 01056

LOUIS P FAVATA (Credential# 742983) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 10, 2006. The license expiration date date is March 31, 2007. The license status is INACTIVE.

Business Overview

LOUIS P FAVATA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001234. The credential type is physician assistant. The effective date is February 10, 2006. The expiration date is March 31, 2007. The business address is 153 Erin Lane, Ludlow, MA 01056. The current status is inactive.

Basic Information

Licensee Name LOUIS P FAVATA
Credential ID 742983
Credential Number 23.001234
Credential Type Physician Assistant
Business Address 153 Erin Lane
Ludlow
MA 01056
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-09-18
Effective Date 2006-02-10
Expiration Date 2007-03-31
Refresh Date 2009-07-08

Office Location

Street Address 153 ERIN LANE
City LUDLOW
State MA
Zip Code 01056

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Ludlow Central Bakery · Ludlow Central Bakery Inc 270 East St, Ludlow, MA 01056 Bakery 2020-07-01 ~ 2021-06-30
Alan J Vautrain 45 Booth St., Ludlow, MA 01056 Radiographer 2020-08-01 ~ 2021-07-31
Elizabete R Branco 432 Munsing St, Ludlow, MA 01056 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Amanda Lee Banks 125 Coolidle Ave, Ludlow, MA 01056 Registered Nurse ~
Nicole Ashley Skelly 35 Knollwood Road, Ludlow, MA 01056 Notary Public Appointment 2015-02-19 ~ 2020-02-28
Vitor Machado 32 Emma Way, Ludlow, MA 01056 Hoisting Equipment Operator 2020-05-17 ~ 2022-05-16
Richard Wheway 308 Miller St, Ludlow, MA 01056 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Vanessa P Ferreira 146 Center Street, Ludlow, MA 01056 Pharmacy Technician 2019-04-01 ~ 2020-03-31
Kali Olsen 58 Lakeview Ave, Ludlow, MA 01056 Naturopathic Physician 2020-04-01 ~ 2021-03-31
Katherine M Dacruz · Gazda 292 Woodland Circle, Ludlow, MA 01056 Hairdresser/cosmetician 2020-05-01 ~ 2022-04-30
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Competitor

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City LUDLOW
Zip Code 01056
License Type Physician Assistant
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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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