JOSEPH BRACALENTO (Credential# 2001248) 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.
JOSEPH BRACALENTO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004773. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 700 Mansfield Ave Apt 1014, Pittsburgh, PA 15205-4384. The current status is active.
| Licensee Name | JOSEPH BRACALENTO |
| Credential ID | 2001248 |
| Credential Number | 23.004773 |
| Credential Type | Physician Assistant |
| Business Address |
700 Mansfield Ave Apt 1014 Pittsburgh PA 15205-4384 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-20 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2020210 | CSP.0073402 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-03-23 | 2020-03-23 - 2021-02-28 | ACTIVE |
| Street Address | 700 MANSFIELD AVE APT 1014 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15205-4384 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca A Galentine | 27 Maplewood Avenue, Pittsburgh, PA 15205 | Embalmer Apprentice | 2020-06-08 ~ 2021-06-08 |
| Timios Appraisal Management Inc | 4955 Steubenville Pike, Suite 305, Pittsburgh, PA 15205 | Real Estate Appraisal Management Company | 2019-01-01 ~ 2020-12-31 |
| Raremed Solutions | 305 Merchant Ln, Pittsburgh, PA 15205 | Nonresident Pharmacy | 2019-08-28 ~ 2020-08-31 |
| George A Polard | 493 Geyser Rd, Pittsburgh, PA 15205 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Town Total Health LLC · Aureus Pharmacy | 300 Merchant Lane Suite 305, Pittsburgh, PA 15205 | Nonresident Pharmacy | 2017-09-01 ~ 2018-08-31 |
| Kelly Anna Folk | 1645 E. Steuben Street, Pittsburgh, PA 15205 | Registered Nurse | 2015-02-25 ~ 2015-11-30 |
| Mulach Steel Corp | 5155 Keiner La, Pittsburgh, PA 15205 | Professional Engineer | 1989-03-13 ~ 1990-01-31 |
| James M Roberts | 333 Balwin Rd, Pittsburgh, PA 15205 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| James V Eckles | 6450 Steubenville Pike, Pittsburgh, PA 15205 | Architect | 2009-08-04 ~ 2010-07-31 |
| Kimberly A Divelbiss | 574 Mcmichael Rd, Pittsburgh, PA 15205 | Registered Nurse | 2009-12-01 ~ 2010-11-30 |
| Find all Licenses in zip 15205 | |||
| City | PITTSBURGH |
| Zip Code | 15205 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PITTSBURGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Santoro Pa | St Joseph Medical Ctr Surgery, Stamford, CT 06904 | Physician Assistant | 2004-11-01 ~ 2005-09-30 |
| Christy Joseph | 5 Maidstone Ln, Monroe, NY 10950-3052 | Physician Assistant | ~ |
| Joseph Downs | 2 Savelle Rd Apt A, Ansonia, CT 06401-1320 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joseph L Kaplowe | 685 Pequot Ave, New London, CT 06320-4229 | Physician Assistant | 2018-11-01 ~ 2019-04-29 |
| Donald Dailey Pa | 112 Joseph St, Waterbury, CT 06705 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Joseph M Cumpelik Pa | 18 L'hermitage Dr, Shelton, CT 06484 | Physician Assistant | 2006-04-27 ~ 2007-05-31 |
| Joseph P Kocot | 155 Windermere Ave, Ellington, CT 06029 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joseph F Berlenbach | 20 Murphy Ln, Southbury, CT 06488-2760 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Joseph Carl Vanderhyde | 85 Retreat Ave, Hartford, CT 06106-2555 | Physician Assistant | ~ |
| Joseph E Healy | 9 Iriquois, Lanesboro, MA 01237 | Physician Assistant | 2005-11-21 ~ 2007-01-31 |
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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).