LARISSA FOPEANO (Credential# 1196102) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
LARISSA FOPEANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003036. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 36 Old Quarry Road, Guilford, CT 06437-2421. The current status is active.
| Licensee Name | LARISSA FOPEANO |
| Credential ID | 1196102 |
| Credential Number | 23.003036 |
| Credential Type | Physician Assistant |
| Business Address |
36 Old Quarry Road Guilford CT 06437-2421 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-12-23 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1200536 | CSP.0056544 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-01-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 36 Old Quarry Road |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-2421 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matt Correira | 119 North St, Guilford, CT 06437-2421 | Asbestos Abatement Supervisor | 2010-10-01 ~ 2011-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Larissa Kim Laskowski | 18 Stuyvesant Oval, New York, NY 10009 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Larissa Kruger Gomes | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-06-28 ~ 2019-06-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
| Larissa A Gentekos | 27 Maplewood Dr, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2008-08-27 ~ 2010-09-30 |
| Larissa H Montminy | 28 Vine St, Auburn, ME 04210-5838 | Radiographer | 2017-10-11 ~ 2018-04-30 |
| Larissa Heanue | 3 Bonnie Ln, Oxford, CT 06478-1155 | Radiographer | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on LARISSA FOPEANO.
| 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).