JOSEPH P HEIMBAUER (Credential# 943513) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.
JOSEPH P HEIMBAUER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002517. The credential type is physician assistant. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 156 Dartmouth Rd, Massapequa, NY 11758-8124. The current status is inactive.
| Licensee Name | JOSEPH P HEIMBAUER |
| Credential ID | 943513 |
| Credential Number | 23.002517 |
| Credential Type | Physician Assistant |
| Business Address |
156 Dartmouth Rd Massapequa NY 11758-8124 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-11-04 |
| Effective Date | 2012-08-01 |
| Expiration Date | 2013-07-31 |
| Refresh Date | 2013-11-06 |
| Street Address | 156 DARTMOUTH RD |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-8124 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sun Mi Joo | 1064 A N Broadway 2fl, N Massapequa, NY 11758 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Elite Chimney Solutions Inc | 67 B Grand Ave, Massapequa, NY 11758 | Home Improvement Contractor | 2020-02-27 ~ 2020-11-30 |
| Giulia Sorrentino | 120 Chicago Avenue, Massapequa, NY 11758 | Resident Physician | 2015-07-02 ~ 2021-06-30 |
| Flora M Mandracchia | 28 Grove Street, Massapequa, NY 11758 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Gerald M Laguardia | 62 Maple Street, Massapequa, NY 11758 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Erin Catherine Hunt | 24 Hollywood Ave, Massapequa, NY 11758 | Radiographer | 2018-11-01 ~ 2019-11-30 |
| Rocco Macri | 190 West Shore Drive, Massapequa, NY 11758 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| William P Mcmenamin | 161 Baltimore Avenue, Massapequa, NY 11758 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elana Denrich | 115 Henry Street, North Massapequa, NY 11758 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Nigel P Marcussen | 132 N Linden St, Massapequa, NY 11758 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11758 | |||
| City | MASSAPEQUA |
| Zip Code | 11758 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MASSAPEQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Santoro Pa | St Joseph Medical Ctr Surgery, Stamford, CT 06904 | Physician Assistant | 2004-11-01 ~ 2005-09-30 |
| Christy Joseph | 5 Maidstone Ln, Monroe, NY 10950-3052 | Physician Assistant | ~ |
| Joseph F Berlenbach | 20 Murphy Ln, Southbury, CT 06488-2760 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Joseph Downs | 2 Savelle Rd Apt A, Ansonia, CT 06401-1320 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joseph L Kaplowe | 685 Pequot Ave, New London, CT 06320-4229 | Physician Assistant | 2018-11-01 ~ 2019-04-29 |
| Donald Dailey Pa | 112 Joseph St, Waterbury, CT 06705 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Joseph M Cumpelik Pa | 18 L'hermitage Dr, Shelton, CT 06484 | Physician Assistant | 2006-04-27 ~ 2007-05-31 |
| Joseph P Kocot | 155 Windermere Ave, Ellington, CT 06029 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joseph Carl Vanderhyde | 85 Retreat Ave, Hartford, CT 06106-2555 | Physician Assistant | ~ |
| Joseph E Healy | 9 Iriquois, Lanesboro, MA 01237 | Physician Assistant | 2005-11-21 ~ 2007-01-31 |
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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).