JAMES E SCLIOPOU PA-C (Credential# 743870) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
JAMES E SCLIOPOU PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002121. The credential type is physician assistant. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 20 Carla Ln, Wilbraham, MA 01095-1454. The current status is active.
| Licensee Name | JAMES E SCLIOPOU PA-C |
| Credential ID | 743870 |
| Credential Number | 23.002121 |
| Credential Type | Physician Assistant |
| Business Address |
20 Carla Ln Wilbraham MA 01095-1454 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-22 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 511677 | CSP.0044427 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-08-14 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 20 CARLA LN |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1454 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Mahan | 24 Carla Ln, Wilbraham, MA 01095-1454 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
| Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 01095 | |||
| City | WILBRAHAM |
| Zip Code | 01095 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WILBRAHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
| James R Gerace Pa | 5 Upland Rd, Middlebury, CT 06762 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| James Alsup | 190 Woosamonsa Rd, Pennington, NJ 08534-4002 | Physician Assistant | 2001-08-30 ~ 2002-09-30 |
| James C. Bigham | 45 Frisbie St, Stamford, CT 06906-2018 | Physician Assistant | 2013-10-01 ~ 2014-10-31 |
| James B Hulin | 40 Prospect, Norwalk, CT 06850 | Physician Assistant | ~ 1996-06-30 |
| James J Ryan | P.o. Box 525, Pine Plains, NY 12567 | Physician Assistant | 2003-03-03 ~ 2004-02-29 |
| Michelle M James | 222 E 19th St, New York, NY 10003 | Physician Assistant | 2015-02-01 ~ 2016-01-31 |
| Steven Scliopou | 27 Dunbar St, Springfield, MA 01118 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| James A Van Rhee | 34 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| James E Fleming | 801 Somerset Knoll, Brewster, NY 10509 | Physician Assistant | 2008-04-14 ~ 2009-04-30 |
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| 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).