DEBORA RODRIGUES (Credential# 1991648) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DEBORA RODRIGUES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004721. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 11 Fairland St, Stamford, CT 06905-3702. The current status is active.
| Licensee Name | DEBORA RODRIGUES |
| Credential ID | 1991648 |
| Credential Number | 23.004721 |
| Credential Type | Physician Assistant |
| Business Address |
11 Fairland St Stamford CT 06905-3702 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-23 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2034509 | CSP.0073585 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-09 | 2020-04-09 - 2021-02-28 | ACTIVE |
| 1175431 | 70.016414 | Emergency Medical Technician | 2013-07-19 | 2013-07-19 - 2015-09-30 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debora Rodrigues | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2014-07-24 ~ 2016-07-23 |
| Street Address | 11 FAIRLAND ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-3702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jon M Dinozzi | 37 Fairland St, Stamford, CT 06905-3702 | Registered Nurse | 2014-09-01 ~ 2015-08-31 |
| Anthony Daostini | 21 Fairland St, Stamford, CT 06905-3702 | Emergency Medical Responder | 2009-07-26 ~ 2011-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria Rodrigues · Rodrigues | 485 Cascade Drive, Fairfield, CT 06825 | Hairdresser/cosmetician | 2018-09-01 ~ 2020-08-31 |
| Beimipo J Rodrigues · Stoneman Rodrigues | 23 Spruce St, Norwich, CT 06360 | Home Improvement Contractor | 2005-06-06 ~ 2005-11-30 |
| Debora L Green | 127 Ashford Road, Longmeadow, MA 01106 | Physician/surgeon | 2005-03-23 ~ 2006-05-31 |
| Debora Kidron | Habanim 13, Kfar Saba, 44207 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Debora C Murphy | 306 N Jones Street, Bolivar, TN 38008 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Debora Mihaley-sobelman Md | 2001 Rivermont Ave., Lynchburg, VA 24503 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Manuel A Rodrigues · Manuel A Rodrigues Trucking & Excavating | 62 Brushy Hill Rd, Danbury, CT 06810 | New Home Construction Contractor | 2011-10-01 ~ 2013-09-30 |
| Shirley Rodrigues, LLC | 49 Old Bridge Road, Brookfield, CT 06804 | Certified Public Accountant Firm Permit | 2016-01-01 ~ 2016-12-31 |
| Allan J. Rodrigues | 136 Sherman Ave Ste 205, New Haven, CT 06511-5210 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sandro R Rodrigues Md | 265 College St Apt 10k, New Haven, CT 06510 | Physician/surgeon | 2007-07-02 ~ 2008-07-31 |
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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).