SCOTT RUBIN PA (Credential# 742172) 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.
SCOTT RUBIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000423. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 44 Edgewood Ave, Longmeadow, MA 01106-1308. The current status is active.
| Licensee Name | SCOTT RUBIN PA |
| Credential ID | 742172 |
| Credential Number | 23.000423 |
| Credential Type | Physician Assistant |
| Business Address |
44 Edgewood Ave Longmeadow MA 01106-1308 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1994-01-28 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163828 | CSP.0022139 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 44 EDGEWOOD AVE |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1308 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arielle Capurso | 94 Edgewood Ave, Longmeadow, MA 01106-1308 | Emergency Medical Technician | 2013-08-14 ~ 2015-07-01 |
| Daniel A Krafcik | 32 Edgewood Ave, Longmeadow, MA 01106-1308 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rubin Wines LLC · Rubin Wines | 5220 Ross Road, Sebastopol, CA 95472 | Out of State Winery | 2020-08-10 ~ 2021-08-09 |
| Scott Orrahood | Cmr 402 Box 1171, Apo Ae, 09180 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Scott T Rybak Pa | 15 Thornbush Rd, Rockfall, CT 06481 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rahma S Scott | Concentra, Norwich, CT 06360 | Physician Assistant | 2012-06-19 ~ 2013-06-30 |
| Scott C Healer | 47 Perry Dr, Burlington, CT 06013-1840 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Nadine F Scott Pa | 59 Sunnybrook Dr, Avon, CT 06001-2529 | Physician Assistant | 2013-01-01 ~ 2013-12-31 |
| Scott E Harrison | 933 Hebron Ave., Glastonbury, CT 06033 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Scott F Sullivan | 31 Walnut Road, Barrington, RI 02806 | Physician Assistant | 2009-06-17 ~ 2010-06-30 |
| Scott I Tomlinson Pa-c | 166 Thoreau Drive, Shelton, CT 06484 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
| Michael Scott Fleck | 819 Durant Pl Ne Apt 8, Atlanta, GA 30308-1600 | Physician Assistant | 2020-01-28 ~ 2020-11-30 |
Please comment or provide details below to improve the information on SCOTT RUBIN 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).