ADAM R ROMANEK (Credential# 1300857) 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.
ADAM R ROMANEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003477. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 97 Shelley Ave, Port Chester, NY 10573. The current status is active.
| Licensee Name | ADAM R ROMANEK |
| Credential ID | 1300857 |
| Credential Number | 23.003477 |
| Credential Type | Physician Assistant |
| Business Address |
97 Shelley Ave Port Chester NY 10573 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-11-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1339041 | CSP.0062253 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-03-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 97 Shelley Ave |
| City | Port Chester |
| State | NY |
| Zip Code | 10573 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Cristina Perez | 10 Nella Lane, Port Chester, NY 10573 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Santander Contracting LLC | 304 Locust Ave, Port Chester, NY 10573 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Starlyn Adames | 65 1/2 Poningo St, Port Chester, NY 10573 | Occupational Therapist | ~ |
| Juliana C Alzate | 140 Grace Church St, Port Chester, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Editha M Comia | 480 King St, Port Chester, NY 10573 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl P Lopez | 14 Fawcett Street, Port Chester, NY 10573 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Madeline X Cole-short | 40 Quintard Dr., Port Chester, NY 10573 | Emergency Medical Responder | ~ |
| Helene A Kimmons | 9 Burdsall Drive, Port Chester, NY 10573 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Leukemia & Lymphoma Society Inc | 3 International Drive, Rye Brook, NY 10573 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Robert M Tramontano | 80 Doral Greens Drive West, Rye Brook, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10573 | |||
| City | Port Chester |
| Zip Code | 10573 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Port Chester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Clements | 543 Abbey Dr, Longmont, CO 80504-2525 | Physician Assistant | ~ |
| Adam R Olsen Pa | 13 Holmes Rd, Ridgefield, CT 06877-4301 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Adam J Wiesenthal Pa | 163 Burger Rd, Rhinebeck, NY 12572-2364 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Adam Robert Sokolowski | 35 Sylvia Ct, Plantsville, CT 06479-1322 | Physician Assistant | ~ |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Adam B. Shain | 1752 Nw Market St # 527, Seattle, WA 98107-5264 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Adam P Cadan | 2437 Bedford St Ste 1, Stamford, CT 06905-3919 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Sandra A Romanek | 131 Pasay Rd, North Grosvenordale, CT 06255-1831 | Hairdresser/cosmetician | 2019-12-01 ~ 2021-11-30 |
| 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 |
| Adam & Dad Inc | 114 Bayberry Dr, Thomaston, CT 06787 | Home Improvement Contractor | 2006-02-27 ~ 2006-11-30 |
Please comment or provide details below to improve the information on ADAM R ROMANEK.
| 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).