GEORGE A LOPEZ PA
Physician Assistant


Address: 1759 W End Ave, New Hyde Park, NY 11040-4024

GEORGE A LOPEZ PA (Credential# 743970) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.

Business Overview

GEORGE A LOPEZ PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002221. The credential type is physician assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 1759 W End Ave, New Hyde Park, NY 11040-4024. The current status is active.

Basic Information

Licensee Name GEORGE A LOPEZ PA
Credential ID 743970
Credential Number 23.002221
Credential Type Physician Assistant
Business Address 1759 W End Ave
New Hyde Park
NY 11040-4024
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-01-12
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-08-27

Other licenses

ID Credential Code Credential Type Issue Term Status
897559 CSP.0046789 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-10-19 2009-10-19 - 2011-02-28 INACTIVE

Office Location

Street Address 1759 W END AVE
City NEW HYDE PARK
State NY
Zip Code 11040-4024

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Hibah Aijaz 54 Herbert Drive, New Hyde Park, NY 11040 Physician/surgeon 2018-12-03 ~ 2019-12-31
Anna Marie Jardine · Harvey 39 Flag Lane, New Hyde Park, NY 11040 Registered Nurse 2020-06-01 ~ 2021-05-31
Bruce H Safran 2101 Royal Court, North Hills, NY 11040 Dentist 2020-07-01 ~ 2021-06-30
Roy B Cohen 105 Elm La, New Hyde Park, NY 11040 Optometrist 2020-04-01 ~ 2021-03-31
Poko Management Corp 2417 Jericho Tpke, New Hyde Park, NY 11040 Real Estate Broker 2020-04-01 ~ 2021-03-31
Michael A. Bianco 50 Rose Place, Garden City Park, NY 11040 Physician/surgeon 2020-04-01 ~ 2021-03-31
Ananthakumar Thillainathan 5 Camden Place, Newhydepark, NY 11040 Physician/surgeon 2020-04-01 ~ 2021-03-31
Deborah J Dolan 1106 Jericho Tpke, New Hyde Park, NY 11040 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Gracemon Kuriakose 1042 Hillside Blvd, New Hyde Park, NY 11040 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Johnson D Daniel 121 South 9th Street, New Hyde Park, NY 11040 Tax Preparer/facilitator Permit 2020-02-12 ~ 2022-02-28
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Competitor

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City NEW HYDE PARK
Zip Code 11040
License Type Physician Assistant
License Type + County Physician Assistant + NEW HYDE PARK

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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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