ANDREA C DORAK (Credential# 1312180) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ANDREA C DORAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003475. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1147 Marion Road, Cheshire, CT 06410. The current status is active.
| Licensee Name | ANDREA C DORAK |
| Credential ID | 1312180 |
| Credential Number | 23.003475 |
| Credential Type | Physician Assistant |
| Business Address |
1147 Marion Road Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-11-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1320607 | CSP.0061755 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-11-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1147 Marion Road |
| City | Cheshire |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | Cheshire |
| Zip Code | 06410 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Cheshire |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea M Lagasse | 20 Greenmeadow Ln, Granby, MA 01033-9594 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Andrea L Calore | 110 Woodbury Rd, Watertown, CT 06795-2130 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Andrea Cunningham | 520 E 20th St Apt 8d, New York, NY 10009-8313 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
| Andrea M Niziolek Pa | 56 Kelsey Springs Dr, Madison, CT 06443-2478 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Andrea Lauren Arnone | 1 Harvard Ave, Yonkers, NY 10710 | Physician Assistant | 2018-11-26 ~ 2019-06-30 |
| Andrea Lowe | 1111 New Jersey Ave, Washington, DC 20003 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Andrea J Stannard Pa | 34 Chelsea Circle, Bethany, CT 06524 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Andrea H Lynch | 164 Surrey Lane, Fairfield, CT 06824 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Andrea Jean Kaufmann | 21 Holland View Dr, Southington, CT 06489-2080 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on ANDREA C DORAK.
| 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).