JOANNE CHURAK (Credential# 741910) 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.
JOANNE CHURAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000161. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 121 Ruy Lane, Southington, CT 06489. The current status is active.
| Licensee Name | JOANNE CHURAK |
| Credential ID | 741910 |
| Credential Number | 23.000161 |
| Credential Type | Physician Assistant |
| Business Address |
121 Ruy Lane Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-08 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1151381 | CSP.0054298 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1276761 | CSP.0059809 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-08 | 2015-04-08 - 2017-02-28 | INACTIVE |
| Street Address | 121 Ruy Lane |
| City | Southington |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | Southington |
| Zip Code | 06489 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Southington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne Cvijic Pa-c | 83 Rockledge Rd#2b, Hartsdale, NY 10530 | Physician Assistant | 2006-04-27 ~ 2007-04-30 |
| Joanne Tischer | 114 Spindle Hill Rd, Wolcott, CT 06716 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Joanne M Berlin Pa | 1146 Johnson Road, Woodbridge, CT 06525 | Physician Assistant | 1996-06-19 ~ 1997-07-31 |
| Joanne Lastri Campbell | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| 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 |
| Joanne M Eichner | 145 Rt 66, Columbia, CT 06237 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Joanne Mills | 540 Meadow St., Agawam, MA 01001 | Physical Therapist Assistant | ~ 2006-11-01 |
| Joanne Coralli | 60 Devonshire Dr, South Windsor, CT 06074-2263 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Joanne Grills | 57 Canal Street, Westerly, RI 02891 | Physical Therapist Assistant | 2020-09-01 ~ 2021-08-31 |
| Joanne A Clukey | 20 Beechwood Hollow, Bradford, RI 02808 | Occupational Therapist Assistant | 2006-12-19 ~ 2007-07-31 |
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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).