CAROLYN CANONICA PA-C (Credential# 926703) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
CAROLYN CANONICA PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047589. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 475 Main St Apt 16p, New York, NY 10044-0095. The current status is inactive.
| Licensee Name | CAROLYN CANONICA PA-C |
| Credential ID | 926703 |
| Credential Number | CSP.0047589 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
475 Main St Apt 16p New York NY 10044-0095 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-05-07 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 913188 | 23.002381 | Physician Assistant | 2010-02-02 | 2012-12-01 - 2013-11-30 | INACTIVE |
| Street Address | 475 MAIN ST APT 16P |
| City | NEW YORK |
| State | NY |
| Zip Code | 10044-0095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura E Price | 405 Main St., New York, NY 10044 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Izabella Kogan | 510 Main Street, Apt 480, New York, NY 10044 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Linda M Amah | 560 Main Street, Apt 721, New York, NY 10044 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Adriana Sangeorzan | 555 Main St Apt #405, New York, NY 10044 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Paige Ai, Inc. | 11 East Loop Road, New York, NY 10044 | Securities - Exemptions | ~ |
| Federico Zuniga Md | 455 Main St Apt 14-a, New York, NY 10044 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Mohammad Reza Tabatabai Irani | 475 Main Street Apt. 2r, New York, NY 10044 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| Sevara S Jeleva | 531 Main St Apt #801, New York, NY 10044 | Real Estate Salesperson | 2009-04-15 ~ 2009-05-31 |
| Fernando I Zaragoza | 531 Main St#1619, Roosevelt Isld, NY 10044 | Professional Engineer | 1800-12-27 ~ 1993-01-31 |
| Lynn T Chambers | 30 River Road 5 D, Roosevelt Island, NY 10044 | Certified Public Accountant License | 2010-01-01 ~ 2010-12-31 |
| Find all Licenses in zip 10044 | |||
| City | NEW YORK |
| Zip Code | 10044 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn Swain Dds | Po Box 482, Fairfield, CT 06824-0482 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn R Blicharz Dmd | Po Box 222, Centerbrook, CT 06409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn J Murray Md | 12 Maple St, Hanover, NH 03755 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Carolyn K Mccourt Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn M Couture Md | 372 Danbury Rd, Wilton, CT 06897-2523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn J. Presley | 50 Carroll Rd., Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carolyn R Simmelink | 117 Cross Hwy, Redding, CT 06896-2406 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn Winters | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carolyn A Roderick | 170 Grandview Ave, Waterbury, CT 06708-2525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn Fetzer Dmd | 100 Butternut Ln, Southington, CT 06489-3860 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).