ROXANNE M MONGEON (Credential# 741786) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ROXANNE M MONGEON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000037. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 10216 Knights Ct, Fort Worth, TX 76244-5027. The current status is active.
Licensee Name | ROXANNE M MONGEON |
Credential ID | 741786 |
Credential Number | 23.000037 |
Credential Type | Physician Assistant |
Business Address |
10216 Knights Ct Fort Worth TX 76244-5027 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1993-06-25 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-12 |
Street Address | 10216 KNIGHTS CT |
City | FORT WORTH |
State | TX |
Zip Code | 76244-5027 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roxanne Mongeon | 10216 Knights Ct, Fort Worth, TX 76244-5027 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jamil F Qutub | 9101 Silsby Dr, Keller, TX 76244 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Sarah Harvey | 3204 Outlook Ct., Fort Worth, TX 76244 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Emily C Rivera Ms · Wills | 8801 Granite Path, Fort Worth, TX 76244 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Alice M Ericson | 5337 Mirage Dr, Keller, TX 76244 | Registered Nurse | 2009-06-04 ~ 2010-06-30 |
Timothy P O'keefe | 12537 Autumn Leaves Trl, Keller, TX 76244-1139 | Physical Therapist Assistant | ~ |
Drake A Daigle | 5301 Sugarloaf Trl Apt 5303, Fort Worth, TX 76244-1437 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
Jasmiry Bennett | 12961 Steadman Farms Dr, Keller, TX 76244-1788 | Registered Nurse | 2020-06-20 ~ 2021-06-30 |
Beta Upsilon Chi | 12650 N Beach St Ste 114, Fort Worth, TX 76244-4245 | Public Charity | 2020-07-01 ~ 2021-06-30 |
Fusion Rx Pharmacy | 3848 N Tarrant Pkwy Ste 150, Fort Worth, TX 76244-5418 | Nonresident Pharmacy | 2020-03-17 ~ 2020-08-31 |
Ilona S Charvayev | 4028 Bedington Ln, Fort Worth, TX 76244-5734 | Physician Assistant | 2018-02-01 ~ 2019-01-31 |
Find all Licenses in zip 76244 |
City | FORT WORTH |
Zip Code | 76244 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + FORT WORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roxanne Mongeon | 10216 Knights Ct, Fort Worth, TX 76244-5027 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Scott D Mongeon · Mongeon and Son's Chimney Service | 21 S Main St, Brighton Plt, ME 04912-4612 | Home Improvement Contractor | 2019-10-24 ~ 2020-11-30 |
Roxanne Irani | 80 Seymour St, Hartford, CT 06102-8000 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Roxanne Raiola | 66 Saddle Hill Dr, Guilford, CT 06437-1432 | Physician Assistant | ~ |
Roxanne J Alicea · Jean-baptiste | 821 65th St S, Saint Petersburg, FL 33707-3044 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
Roxanne L Lilly · Roxanne Gammons | 23 Leila Street, New Haven, CT 06513 | Massage Therapist | 2018-11-01 ~ 2020-10-31 |
Roxanne M Roy, Cpa | 84 O'connell Road Extension, Colchester, CT 06415 | Certified Public Accountant Firm Permit | 2014-01-01 ~ 2014-12-31 |
Roxanne F Zarmsky | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Roxanne J Wadia | 18 Atwater St, Milford, CT 06460 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
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 |
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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).