SARAH KLOBOCISTA (Credential# 1341375) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2018. The license expiration date date is October 31, 2019. The license status is INACTIVE.
SARAH KLOBOCISTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003704. The credential type is physician assistant. The effective date is November 1, 2018. The expiration date is October 31, 2019. The business address is 21 Vista Ave, Staten Island, NY 10304. The current status is inactive.
| Licensee Name | SARAH KLOBOCISTA |
| Credential ID | 1341375 |
| Credential Number | 23.003704 |
| Credential Type | Physician Assistant |
| Business Address |
21 Vista Ave Staten Island NY 10304 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-10-03 |
| Effective Date | 2018-11-01 |
| Expiration Date | 2019-10-31 |
| Refresh Date | 2020-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1408983 | CSP.0064903 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-28 | 2017-02-28 - 2019-02-28 | LAPSED |
| Street Address | 21 Vista Ave |
| City | Staten Island |
| State | NY |
| Zip Code | 10304 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Benvenuto | 36 Wilson Street, Staten Island, NY 10304 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Joseph J Ruggiero | 60 Duncan St, Staten Isld, NY 10304 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Boundless Impact Group LLC | 25 Copperleaf Terrace, Staten Island, NY 10304 | Paid Solicitor | 2019-08-13 ~ 2020-08-12 |
| Richard J Trieste | 48 Duncan St, Staten Island, NY 10304 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Advanced Technology Select Fund Viii, LLC | 163 Coventry Road, Staten Island, NY 10304 | Securities - Exemptions | 2019-11-12 ~ |
| Sabrina J Lauriston | 32 Delaware Street, Staten Island, NY 10304 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| John B Dimaano | 800 Elbe Ave, Staten Island, NY 10304 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Nadezda A Tretyakova | 54 Sunrise Terrace, Staten Island, NY 10304 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Bruce Sosler | 27 Gateway Drive, Staten Island, NY 10304 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Arnies Bagelicious Bagels Inc | 455 Front St, Staten Island, NY 10304 | Bakery | 1997-07-01 ~ 1998-06-30 |
| Find all Licenses in zip 10304 | |||
| City | Staten Island |
| Zip Code | 10304 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Staten Island |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Spring | 277 Academy Dr, Vestal, NY 13850-2447 | Physician Assistant | ~ |
| Sarah B Sullivan Pa-c | 113 Old Stratfield Rd, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah Ann Newburg | N67 W36773 Hwy K, Oconomowoc, WI 53066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Sarah F Pryor | 57 Old Rock Ln, Norwalk, CT 06850-2233 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Sarah E Beaudoin | 36 Ladyslipper Ln, Norwich, CT 06360-2659 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Sarah Elizabeth Hill | 211 Park Rd, Oxford, CT 06478-6127 | Physician Assistant | ~ |
| Sarah R. Bailey | 745 Orange St Apt 203, New Haven, CT 06511-2549 | Physician Assistant | 2010-01-20 ~ 2010-03-31 |
| Sarah Moore | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Danielle Sarah Desmarais | 25 Old Towne Rd, Cheshire, CT 06410-3122 | Physician Assistant | ~ |
| Sarah J Dolan | 114 Woodland St, Hartford, CT 06105-1208 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on SARAH KLOBOCISTA.
| 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).