BRUCE SCHALAMON PA (Credential# 742123) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 28, 1999. The license expiration date date is May 31, 2000. The license status is INACTIVE.
BRUCE SCHALAMON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000374. The credential type is physician assistant. The effective date is June 28, 1999. The expiration date is May 31, 2000. The business address is 170 Ferguson Rd, Manchester, CT 06040. The current status is inactive.
| Licensee Name | BRUCE SCHALAMON PA |
| Credential ID | 742123 |
| Credential Number | 23.000374 |
| Credential Type | Physician Assistant |
| Business Address |
170 Ferguson Rd Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-11-05 |
| Effective Date | 1999-06-28 |
| Expiration Date | 2000-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162308 | CSP.0023619 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-23 - 2000-02-28 | INACTIVE |
| Street Address | 170 FERGUSON RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce M Cudd | Rr1 Box 583-a, Walpole, NH 03608 | Physician Assistant | 1998-08-12 ~ 1999-10-31 |
| Bruce Bowman | 62 Morgan Dr, Glastonbury, CT 06033-2910 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Edwige Figaro Pa | 22 Bruce Dr, Shelton, CT 06484 | Physician Assistant | 2004-10-29 ~ 2005-07-31 |
| Bruce H Garbett | Bkfld Family Med, Brookfield, CT 06804 | Physician Assistant | ~ 1995-07-31 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Bruce E Wassung | 524 Reed Ct, Jeannette, PA 15644-4080 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Bruce D Danner | 355 Bagdad Rd, Potsdam, NY 13676-3175 | Physical Therapist Assistant | 2015-05-01 ~ 2016-04-30 |
| Bruce D Bessette | Po Box 34, 94 Follette Ro, Windham Center, CT 06280 | Family Child Care Assistant | 2002-03-25 ~ |
| 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 BRUCE SCHALAMON PA.
| 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).