MYNGOC HO (Credential# 1673902) 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.
MYNGOC HO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004592. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 54 Vail Street, Springfield, MA 01118. The current status is active.
| Licensee Name | MYNGOC HO |
| Credential ID | 1673902 |
| Credential Number | 23.004592 |
| Credential Type | Physician Assistant |
| Business Address |
54 Vail Street Springfield MA 01118 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-18 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-05-05 |
| Street Address | 54 Vail Street |
| City | Springfield |
| State | MA |
| Zip Code | 01118 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thi Nguyen | 61 Coral Rd, Springfield, MA 01118 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Huy Nguyen | 519 Gifford St, Springfield, MA 01118 | Nail Technician | ~ |
| Lori L Kellner | 203 Kerry Dr, Springfield, MA 01118 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Rhonda Dean | 185 Island Pond Rd, Springfield, MA 01118 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Man Thi Tran | 58 Castle St., Springfield, MA 01118 | Nail Technician | 2020-06-16 ~ 2021-08-31 |
| Christina Mary Camerota | 20 Bangor Street, Springfield, CT 01118 | Esthetician | ~ |
| Kelly A Schafer | 132 Hartford Terrace, Springfield, MA 01118 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Giana E Aragon | 107 Audley Rd, Springfield, MA 01118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Catherine P Page-helgoe | 96 Old Brook Rd, Springfield, MA 01118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lee Ann Duclos | 25 Mayflower Road, Springfield, MA 01118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 01118 | |||
| City | Springfield |
| Zip Code | 01118 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Springfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
| Stacey Rydzewska | 421 S End Rd, Plantsville, CT 06479 | Physician Assistant | ~ |
| L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
| Suechu Eng Taing | Po Box 304, Rosemead, CA 91770-0304 | Physician Assistant | ~ |
| Justin S Boyarsky | 560 1st Ave, New York, NY 10016-6402 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on MYNGOC HO.
| 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).