KAYLA R KOZA (Credential# 1264654) 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.
KAYLA R KOZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003279. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 19 Wilderness Way, Willington, CT 06279. The current status is active.
| Licensee Name | KAYLA R KOZA |
| Credential ID | 1264654 |
| Credential Number | 23.003279 |
| Credential Type | Physician Assistant |
| Business Address |
19 Wilderness Way Willington CT 06279 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-02-11 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1267104 | CSP.0059461 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-02-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 889268 | 28.005652 | Radiographer | 2009-08-10 | 2015-06-01 - 2016-05-31 | INACTIVE |
| Street Address | 19 Wilderness Way |
| City | Willington |
| State | CT |
| Zip Code | 06279 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Travel Centers of America | 327 Ruby Rd, Willington, CT 06279 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Schofield Road | 126 Schofield Road, Willington, CT 06279 | Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Amy L Swank | 42 St Moritz Circle, Willington, CT 06279 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Patricia Locke | 317 River Rd, Willington, CT 06279 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Melissa A Bray | 6 Adamec Road, Willington, CT 06279 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Cathy A Roy | 9 Hall Hill Road, Willington, CT 06279 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erin Kathleen Pervine | 11 Phelps Way, Willington, CT 06279 | Nail Technician | 2020-06-15 ~ 2022-06-30 |
| Pamela J Puhlick | 120 Willington Hill Road, Willington, CT 06279 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| David R Newman | 7 Y Road, Willington, CT 06279 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sally Ann Barone | 65 Pinney Hill Rd, Willington, CT 06279 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06279 | |||
| City | Willington |
| Zip Code | 06279 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Willington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kayla Ingram | 209 Old Lyman Rd, Chicopee, MA 01020-4441 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Christine Edugene | 1903 Kayla Court, Newburgh, NY 12550 | Physician Assistant | ~ |
| Kayla L Mcnamara | 285 Long Hill Rd, Wallingford, CT 06492-4908 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kayla Nicole Kennedy | 27 Hunters Lane, Plantsville, CT 06479 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kayla M Silva | 60 Springbrook Rd, Westerly, RI 02891-1001 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Kayla Ann Jacques | 154 Oil Mill Rd, Waterford, CT 06385-4018 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Kayla M Bailey | 84 Ayers Rd, South Windsor, CT 06074-2042 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Kayla Lindsey | 1 Reuven Drive, Ledyard, CT 06339 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Kayla Waters | 61 Whitmore St., Hartford, CT 06114 | Family Child Care Assistant | 2009-07-08 ~ 2009-06-30 |
| Kayla Arianne Nadres Reyes | 378 D Welton Way, Thomaston, CT 06787-1265 | Occupational Therapist Assistant | 2020-01-21 ~ 2021-07-31 |
Please comment or provide details below to improve the information on KAYLA R KOZA.
| 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).