PAULA L CHAKERIAN MD (Credential# 902934) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
PAULA L CHAKERIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048388. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 307 Grissom Rd, Manchester, CT 06042. The current status is active.
Licensee Name | PAULA L CHAKERIAN MD |
Credential ID | 902934 |
Credential Number | 1.048388 |
Credential Type | Physician/Surgeon |
Business Address |
307 Grissom Rd Manchester CT 06042 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2010-01-14 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
891979 | CSP.0046364 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
911548 | CSP.0047178 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
Street Address | 307 Grissom Rd |
City | Manchester |
State | CT |
Zip Code | 06042 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06042 |
City | Manchester |
Zip Code | 06042 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Manchester |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paula M Bevilacqua | 27 7th Ave, Branford, CT 06405-5445 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Paula S Algranati | 141 Tennyson Dr, Longmeadow, MA 01106-2345 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Mae D Whelan | 37 Paula Lane, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Paula Cinti Md | 130 Todd St, Hamden, CT 06518 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Ana Paula Machado | 107 Newtown Rd, Danbury, CT 06810 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Paula J Rackoff | 35a Willard St, New Haven, CT 06515 | Physician/surgeon | 1992-01-23 ~ 1992-12-31 |
Paula A Corrigan | 78 S Florida Ave, Alamogordo, NM 88310 | Physician/surgeon | 1995-01-03 ~ 1996-02-29 |
Paula Yeghiayan | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
Paula J Schweich Md | 940 High Road, Kensington, CT 06037 | Physician/surgeon | 1998-05-14 ~ 1999-05-31 |
Paula A Anderson | 318 Brookwood Drive, Duncanville, TX 75516 | Physician/surgeon | 2006-10-02 ~ 2007-10-31 |
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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).