KAREN S PICIW (Credential# 742062) 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.
KAREN S PICIW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000313. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 45 School St, Shelton, CT 06484. The current status is active.
| Licensee Name | KAREN S PICIW |
| Credential ID | 742062 |
| Credential Number | 23.000313 |
| Credential Type | Physician Assistant |
| Business Address |
45 School St Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-11-05 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1458677 | CSP.0067036 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-10-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 45 SCHOOL ST |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen M Marlett Pa | 399 Woodhouse Ave, Wallingford, CT 06492-5415 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Karen M Smith | 349 Main Ave Apt 6, Norwalk, CT 06851-1589 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Karen D Rosen | 51 Eastbrook Ter, Berlin, CT 06037-2287 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Karen C Fraser | 28 Country Club Lane, Easton, CT 06612 | Physician Assistant | 2005-06-29 ~ 2006-07-31 |
| Nicholas Piciw | 45 School Street, Shelton, CT 06484-1825 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Karen Nieradka | 2619 W. Lutz Lake Fern Rd, Lutz, FL 33558 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Karen Uliano | 265 Karen Avenue, Stratford, CT 06497 | Family Child Care Assistant | 1998-11-30 ~ 1998-11-30 |
| 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 |
| 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 |
Please comment or provide details below to improve the information on KAREN S PICIW.
| 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).