MARC TABAYOYONG CAMPOS (Credential# 1618289) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARC TABAYOYONG CAMPOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004367. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 189 Harland Road, Norwich, CT 06360. The current status is active.
| Licensee Name | MARC TABAYOYONG CAMPOS |
| Credential ID | 1618289 |
| Credential Number | 23.004367 |
| Credential Type | Physician Assistant |
| Business Address |
189 Harland Road Norwich CT 06360 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-10 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1625259 | CSP.0070085 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-01-10 | 2019-01-10 - 2021-02-28 | ACTIVE |
| Street Address | 189 Harland Road |
| City | Norwich |
| State | CT |
| Zip Code | 06360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alissa Kay Campos | 189 Harland Road, Norwich, CT 06360 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | Norwich |
| Zip Code | 06360 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Norwich |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc A Norman Pa-c | 40 Prospect Ave Apt 2, Norwalk, CT 06850-3737 | Physician Assistant | 2010-04-01 ~ 2011-03-31 |
| Marc Thomas Civitano | 51 Caprice Dr, Stamford, CT 06902 | Physician Assistant | ~ |
| Marc S D'amato | 31 Strawberry Lane, Middlefield, CT 06455 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Marc Robert Feldmeier Pa | 41 Hunters Mtn Rd, Oxford, CT 06478 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Marc Benjamin | 40 Glen Hollow, West Hartford, CT 06117-2224 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Campos Enterprises LLC · Campos Home Improvement | 117 Burgundy Hill Lane, Middletown, CT 06457 | Home Improvement Contractor | 2005-05-18 ~ 2005-11-30 |
| Carlos Manuel Campos Nazario | Urb Morel Campos, 00731, PR 00731 | Registered Nurse | ~ |
| Cathy R Campos-riley · Campos | 87 Gay Street, Sharon, CT 06069 | Radiographer | 2013-11-01 ~ 2014-10-31 |
| Goncalo Campos Jr · Campos Construction | 404 Wells St, Bridgeport, CT 06606 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Marcelo Campos · Campos Custom Carpentry and Remodeling | 403 Clearview Ave., Harwinton, CT 06791 | Home Improvement Contractor | 2013-12-19 ~ 2014-11-30 |
Please comment or provide details below to improve the information on MARC TABAYOYONG CAMPOS.
| 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).