GEORGE M MORALES (Credential# 942745) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 22, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.
GEORGE M MORALES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002429. The credential type is physician assistant. The effective date is July 22, 2010. The expiration date is June 30, 2011. The business address is 40 Prospect Ave, Norwalk, CT 06850-3737. The current status is inactive.
Licensee Name | GEORGE M MORALES |
Credential ID | 942745 |
Credential Number | 23.002429 |
Credential Type | Physician Assistant |
Business Address |
40 Prospect Ave Norwalk CT 06850-3737 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-07-22 |
Effective Date | 2010-07-22 |
Expiration Date | 2011-06-30 |
Refresh Date | 2011-10-03 |
Street Address | 40 PROSPECT AVE |
City | NORWALK |
State | CT |
Zip Code | 06850-3737 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Allan A Lambkin | 40 Prospect Ave, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
Astha Tejpal | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Rekha M Reddy | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Sivraj Muralikrishnan | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Daniel Wallace Dahl | 40 Prospect Ave, Norwalk, CT 06850 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Molly S Van Dams | 40 Prospect Ave, Norwalk, CT 06850 | Occupational Therapist | 2015-08-01 ~ 2017-07-31 |
Brienne M Chow | 40 Prospect Ave, Norwalk, CT 06850 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
Kylie Tanabe | 40 Prospect Ave, Norwalk, CT 06850-3737 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
Prakriti S Merchant | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Adrienne Berkowitz | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda Lindo | 40 Prospect Ave Bldg 3j, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
Angad Deengar | 40 Prospect Ave Bldg 4k, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Juan C Sarmiento Ramon | 40 Prospect Ave Bldg 3l, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carlos M Nunez | 40 Prospect Ave Bldg 3a, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Di Wu | 40 Prospect Ave Bldg 4d, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Yousaf A Shaikh | 40 Prospect Ave Apt 3d, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-20 ~ 2021-06-19 |
Mufti Mushfiqur Rahman | 40 Prospect Ave Bldg 3f, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-20 ~ 2021-06-19 |
Sharon Sukhdeo | 40 Prospect Ave Bldg 3k, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-19 ~ 2021-06-30 |
Virginia Ruiz | 40 Prospect Ave Bldg 4l, Norwalk, CT 06850-3737 | Resident Physician | 2019-11-11 ~ 2022-11-10 |
Rodney Jake Teichroeb | 40 Prospect Ave Bldg 1-k, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
Find all Licenses in zip 06850-3737 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06850 |
City | NORWALK |
Zip Code | 06850 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + NORWALK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren M Morales | 825 Sterling St, North Bellmore, NY 11710-1215 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
Clinton B. Wheeler | 207 George St Apt 432, Middletown, CT 06457-3599 | Physician Assistant | 2010-11-01 ~ 2011-11-30 |
George D Easter Jr | 160 Marsh Rd, Litchfield, CT 06759 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
George W Horsley Pa | 118 Brinton Ave, Warwick, RI 02888 | Physician Assistant | 2004-01-20 ~ 2005-03-31 |
Allison N Hallbach | 207 George St, Middletown, CT 06457 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Julia M Friedman Pa | 207 George St, Middletown, CT 06457 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
George A Lopez Pa | 1759 W End Ave, New Hyde Park, NY 11040-4024 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Tiji Saji George | 305 Sixth Ave Apt 5f, Pelham, NY 10803-1219 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Mary R Walton Pa | 38 George Street, Wakefield, RI 02879 | Physician Assistant | 2014-10-01 ~ 2015-09-30 |
Erica B Korzekwinski | 54 George Washington Hwy, Ridgefield, CT 06877 | Physician Assistant | 2017-11-16 ~ 2018-10-31 |
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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).