TIJI SAJI GEORGE (Credential# 1613132) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
TIJI SAJI GEORGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004354. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 305 Sixth Ave Apt 5f, Pelham, NY 10803-1219. The current status is active.
Licensee Name | TIJI SAJI GEORGE |
Credential ID | 1613132 |
Credential Number | 23.004354 |
Credential Type | Physician Assistant |
Business Address |
305 Sixth Ave Apt 5f Pelham NY 10803-1219 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-12-17 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-02-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1620825 | CSP.0069997 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-12-19 | 2018-12-19 - 2021-02-28 | ACTIVE |
Street Address | 305 SIXTH AVE APT 5F |
City | PELHAM |
State | NY |
Zip Code | 10803-1219 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrew R Lavallee | 505 Second Ave, Pelham, NY 10803 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Jay D Bargmann | 25 Highbrook Ave, Pelham, NY 10803 | Architect | 2020-08-01 ~ 2021-07-31 |
Markysha Douglas | 17 Fifth Ave, Pelham, NY 10803 | Master's Level Social Worker | ~ |
Grace Helena Leone | 1070 Washington Ave, Pelham Manor, NY 10803 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Lisa Jean Deere | 406 Third Avenue, Pelham, NY 10803 | Notary Public Appointment | 2015-05-01 ~ 2020-04-30 |
Blake A Schoenberg | 530 Fifth Avenue, Pelham, NY 10803 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Nima Hani | 55 St St, Pelham, NY 10803 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Michael Ian Lahn | 6 Country Club Lane, Pelham Manor, NY 10803 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Burbio, Inc. | 204 Nyac Avenue, Pelham, NY 10803 | Securities - Exemptions | 2020-03-18 ~ |
Maryann Pfeiffer | 55 Shore Road, Pelham Manor, NY 10803 | Optometrist | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10803 |
City | PELHAM |
Zip Code | 10803 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + PELHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Saji John Md | 2800 Shoreline Way, Lewisville, TX 75056-4162 | Physician/surgeon | 2017-05-01 ~ 2018-04-30 |
Clinton B. Wheeler | 207 George St Apt 432, Middletown, CT 06457-3599 | Physician Assistant | 2010-11-01 ~ 2011-11-30 |
George D Easter Jr | 160 Marsh Rd, Litchfield, CT 06759 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Julia M Friedman Pa | 207 George St, Middletown, CT 06457 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
Allison N Hallbach | 207 George St, Middletown, CT 06457 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
George M Morales | 40 Prospect Ave, Norwalk, CT 06850-3737 | Physician Assistant | 2010-07-22 ~ 2011-06-30 |
George W Horsley Pa | 118 Brinton Ave, Warwick, RI 02888 | Physician Assistant | 2004-01-20 ~ 2005-03-31 |
Erica B Korzekwinski | 54 George Washington Hwy, Ridgefield, CT 06877 | Physician Assistant | 2017-11-16 ~ 2018-10-31 |
George Pusko | 161 Flagler Avenue, Cheshire, CT 06410 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
George A Lopez Pa | 1759 W End Ave, New Hyde Park, NY 11040-4024 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
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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).