KEVIN M. KATTAU
Physician Assistant


Address: 20 Hooper Ct, East Northport, NY 11731-4914

KEVIN M. KATTAU (Credential# 946384) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 22, 2011. The license expiration date date is January 31, 2012. The license status is INACTIVE.

Business Overview

KEVIN M. KATTAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002655. The credential type is physician assistant. The effective date is September 22, 2011. The expiration date is January 31, 2012. The business address is 20 Hooper Ct, East Northport, NY 11731-4914. The current status is inactive.

Basic Information

Licensee Name KEVIN M. KATTAU
Credential ID 946384
Credential Number 23.002655
Credential Type Physician Assistant
Business Address 20 Hooper Ct
East Northport
NY 11731-4914
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-09-22
Effective Date 2011-09-22
Expiration Date 2012-01-31
Refresh Date 2012-05-02

Office Location

Street Address 20 HOOPER CT
City EAST NORTHPORT
State NY
Zip Code 11731-4914

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Mary Ellen Rella 409 6th St, East Northport, NY 11731 Registered Nurse 2020-05-01 ~ 2021-04-30
Chau H Lee Do 554 Larkfield Rd, East Northport, NY 11731 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter Kelly 54 Lorijean Lane, Elwood, NY 11731 Professional Engineer 2020-02-01 ~ 2021-01-31
Eugene G Kempey 4 Brunswick Dr, East Northport, NY 11731 Professional Engineer 2020-02-01 ~ 2021-01-31
Stelios N Bertos 24 Salisbury Drive North, East Northport, NY 11731 Professional Engineer 2020-02-01 ~ 2021-01-31
Christina Scalia 3 Sipala Court, East Northport, NY 11731 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City EAST NORTHPORT
Zip Code 11731
License Type Physician Assistant
License Type + County Physician Assistant + EAST NORTHPORT

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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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