TRACY NOVACK (Credential# 743729) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 28, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.
TRACY NOVACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001980. The credential type is physician assistant. The effective date is September 28, 2007. The expiration date is March 31, 2008. The business address is 10 Arbor Drive, Providence, RI 02908. The current status is inactive.
| Licensee Name | TRACY NOVACK |
| Credential ID | 743729 |
| Credential Number | 23.001980 |
| Credential Type | Physician Assistant |
| Business Address |
10 Arbor Drive Providence RI 02908 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-09-28 |
| Effective Date | 2007-09-28 |
| Expiration Date | 2008-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 10 Arbor Drive |
| City | Providence |
| State | RI |
| Zip Code | 02908 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olivia S Locker | 302 Eaton St, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexandra Jimenez | 405 Promenade Street, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Juan O Silfa | 15 Amity St., Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Caitlyn M. Bouchard | 685 River Ave, Providence, RI 02908 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
| Brandon Russell Sweet | 38 Durham Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Howard J Sellers | 88 Jewett Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Khonesavanh Misay | 25 Rosebank Avenue, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Alan R Morrison | Providence Va Medical Center, Providence, RI 02908 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tiffany Acosta | 34 Veazie St 3rd Flr, Providence, RI 02908 | Registered Nurse | ~ |
| Tomas I Perez | 80 Farragut Ave, Providence, RI 02908 | Professional Engineer | 2019-06-21 ~ 2020-01-31 |
| Find all Licenses in zip 02908 | |||
| City | Providence |
| Zip Code | 02908 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael R Novack · Novack Painting | 100 Putnam St, Bristol, CT 06010 | Home Improvement Contractor | 1996-11-14 ~ 1997-11-30 |
| Tracy L Boller | 75 Kaye Vue Dr., Hamden, CT 06514 | Physician Assistant | 2002-10-30 ~ 2003-10-31 |
| Elise C Winter | 69 Tracy Dr, Vernon Rockville, CT 06066-4121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Stuart N Novack | 761 Main Ave Suite 112, Norwalk, CT 06851 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Marissa Novack | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
| Steven J Novack | 4 Wexford Lane, Savannah, GA 31411 | Physician/surgeon | 2006-09-25 ~ 2007-08-31 |
| 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 |
| Tracy E O'donnell | 491 Greenhaven Rd, Pawcatuck, CT 06379-2094 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Tracy R Burek | 6 Bel Aire Dr, Plainville, CT 06062-1002 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Tracy L Toros | 187 Nettleton Ave, Milford, CT 06460-5705 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on TRACY NOVACK.
| 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).