GUERLANDE LOUIS
Physician Assistant


Address: 10 25 Reynolds Road, Johnson, NY 13790

GUERLANDE LOUIS (Credential# 1402349) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.

Business Overview

GUERLANDE LOUIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003826. The credential type is physician assistant. The effective date is December 1, 2017. The expiration date is November 30, 2018. The business address is 10 25 Reynolds Road, Johnson, NY 13790. The current status is inactive.

Basic Information

Licensee Name GUERLANDE LOUIS
Credential ID 1402349
Credential Number 23.003826
Credential Type Physician Assistant
Business Address 10 25 Reynolds Road
Johnson
NY 13790
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-05-15
Effective Date 2017-12-01
Expiration Date 2018-11-30
Refresh Date 2019-03-05

Office Location

Street Address 10 25 Reynolds Road
City Johnson
State NY
Zip Code 13790

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Anthony R Paniccia 300 N. Hudson Street, Johnson City, NY 13790 Professional Engineer 2020-02-01 ~ 2021-01-31
Bruce E Caro 340 Andrews Ave, Johnson City, NY 13790 Professional Engineer 2020-02-01 ~ 2021-01-31
Nicole C Van Loan 98 Union Street, Apt. 2, Johnson City, NY 13790 Licensed Practical Nurse 2009-10-01 ~ 2010-09-30
Mary M Kane 833 Grant St, Johnson City, NY 13790 Registered Nurse 2005-08-22 ~ 2006-05-31
Dominic A Offiong P.o. Box 923, Johnson City, NY 13790 Physician/surgeon 2004-07-01 ~ 2005-03-31
Joseph R Creveling 43 Haynes Ave, Johnson City, NY 13790 Lead Abatement Supervisor ~ 1999-07-31
Christina L Kelly · Relly 61 Zoa Avenue, Johnson City, NY 13790 Registered Nurse 2000-04-11 ~ 2001-04-30
Debra M Holowinski 635 Nelson Road, Johnson City, NY 13790 Dental Hygienist 1998-03-25 ~ 1999-03-31
David F Robinson 1025 Reynolds Rd, Johnson City, NY 13790 Registered Nurse 2001-07-19 ~ 2002-08-31
James Millard 15 Endicott Ave, Johnson City, NY 13790 Tv & Radio Apprentice Electronic Technician 2007-02-20 ~ 2007-08-31
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City Johnson
Zip Code 13790
License Type Physician Assistant
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Dataset Information

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).

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