STALIN VARUGHESE (Credential# 1270125) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 10, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
STALIN VARUGHESE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003300. The credential type is physician assistant. The effective date is March 10, 2015. The expiration date is January 31, 2016. The business address is 815 Franklin Ave Apt 12, Valley Stream, NY 11580-1500. The current status is inactive.
Licensee Name | STALIN VARUGHESE |
Credential ID | 1270125 |
Credential Number | 23.003300 |
Credential Type | Physician Assistant |
Business Address |
815 Franklin Ave Apt 12 Valley Stream NY 11580-1500 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-03-10 |
Effective Date | 2015-03-10 |
Expiration Date | 2016-01-31 |
Refresh Date | 2016-05-17 |
Street Address | 815 FRANKLIN AVE APT 12 |
City | VALLEY STREAM |
State | NY |
Zip Code | 11580-1500 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Adefunke B Oyede | 25 Jasper Street, Valley Stream, NY 11580 | Master's Level Social Worker | 2020-03-01 ~ 2021-02-28 |
Hao Mei Li | 39 Carl St, Valley Stream, NY 11580 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Madeleine Jabonillo | 16 Linden Road, Valley Stream, NY 11580 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Marie Gelin | 79 Bank Street, Valley Stream, NY 11580 | Master's Level Social Worker | 2020-01-01 ~ 2020-12-31 |
Imran Yousaf | 26 Stephen Place, Valley Stream, NY 11580 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
George J Kulik | 47 Irving St, Valley Stream, NY 11580 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Indardeo Parbhunath | 89 N Montgomery St, Valley Stream, NY 11580 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Karen Greenfield | 1015 Lynn Drive, Valley Stream, NY 11580 | Notary Public Appointment | 2016-06-24 ~ 2021-06-30 |
Barbara Di Martino | 856 Oxford Court, North Valley Stream, NY 11580 | Notary Public Appointment | 2001-05-02 ~ 2006-05-31 |
Philippe Chu | 900 Franklin Ave, Valley Stream, NY 11580 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 11580 |
City | VALLEY STREAM |
Zip Code | 11580 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + VALLEY STREAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vinson T Varughese | Bridgeport Hospital, Bridgeport, CT 06610 | Physician Assistant | 2019-04-01 ~ 2020-03-31 |
Reba Varughese | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Jasmine Varughese | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
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 |
Stalin Villarreal | 45 Allen Place, Hartford, CT 06114 | Lead Abatement Worker | 2003-09-19 ~ 2004-04-30 |
Stalin Krishnan | 6202 Shadow Oaks Ct, Monmouth Junction, NJ 08852 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Stalin Barcco | 20-55 21st Street, Apt. 2a, Astoria, NY 11105 | Asbestos Abatement Worker | 2001-03-15 ~ 2002-02-28 |
Stalin Vladimir Cruz | 1348 Sylvan Ave, Bridgeport, CT 06606-2540 | Registered Nurse | 2020-06-20 ~ 2021-01-31 |
Stalin R Carrillo | 3715 30th Ave Apt 3, Astoria, NY 11103-4334 | Asbestos Abatement Worker | 2010-05-26 ~ 2011-04-30 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
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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).