KAREN NIERADKA (Credential# 1392142) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
KAREN NIERADKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003781. The credential type is physician assistant. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 2619 W. Lutz Lake Fern Rd, Lutz, FL 33558. The current status is inactive.
| Licensee Name | KAREN NIERADKA |
| Credential ID | 1392142 |
| Credential Number | 23.003781 |
| Credential Type | Physician Assistant |
| Business Address |
2619 W. Lutz Lake Fern Rd Lutz FL 33558 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-02-14 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1408065 | CSP.0064856 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-22 | 2017-02-22 - 2019-02-28 | LAPSED |
| Street Address | 2619 W. Lutz Lake Fern Rd |
| City | Lutz |
| State | FL |
| Zip Code | 33558 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy M Davis | 1830 Nature View Drive, Lutz, FL 33558 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Richard M Meyerson | 19226 Garden Quilt Cir, Lutz, FL 33558 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Raya Nasim | 3959 Van Dyke Road #236, Lutz, FL 33558 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Paul P Piro | 5206 Zachini Court, Lutz, FL 33558 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| David A Roberts | 19479 Leonard Rd, Tampa, FL 33558 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Theresa R Boains | 5409 Avenue Simone, Lutz, FL 33558 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Thomas J Euley II | 18725 Birchwood Grove, Lutz, FL 33558 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Natalia Eden | 17436 Fountainside Loop, Lutz, FL 33558 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Christopher G Prentiss | 19218 Fishermans Bend Drive, Lutz, FL 33558 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Tracey E Smithey | 18806 Rue Loire, Lutz, FL 33558 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 33558 | |||
| City | Lutz |
| Zip Code | 33558 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Lutz |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen D Rosen | 51 Eastbrook Ter, Berlin, CT 06037-2287 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Karen S Piciw | 45 School St, Shelton, CT 06484 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Karen M Smith | 349 Main Ave Apt 6, Norwalk, CT 06851-1589 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Karen M Marlett Pa | 399 Woodhouse Ave, Wallingford, CT 06492-5415 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Karen C Fraser | 28 Country Club Lane, Easton, CT 06612 | Physician Assistant | 2005-06-29 ~ 2006-07-31 |
| Karen Uliano | 265 Karen Avenue, Stratford, CT 06497 | Family Child Care Assistant | 1998-11-30 ~ 1998-11-30 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
Please comment or provide details below to improve the information on KAREN NIERADKA.
| 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).