MARK DECORA (Credential# 742198) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARK DECORA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000449. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 47 Beechwood Rd, Oakdale, CT 06370. The current status is active.
Licensee Name | MARK DECORA |
Credential ID | 742198 |
Credential Number | 23.000449 |
Credential Type | Physician Assistant |
Business Address |
47 Beechwood Rd Oakdale CT 06370 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1994-06-24 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
161064 | CSP.0022361 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 47 BEECHWOOD RD |
City | OAKDALE |
State | CT |
Zip Code | 06370 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brenna Lauren Jaskiewicz | 11 Michigan Circle, Oakdale, CT 06370 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Bronwyn Janine Mallam | 5 Daisy Hill Drive, Oakdale, CT 06370 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Victoria J Snarski | 1647 Rt 163, Oakdale, CT 06370 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Nicholas S Zawacki | 63 Georgia Road, Oakdale, CT 06370 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Anu Mathew | 1168 Old Colchester Road, Oakdale, CT 06370 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Andrew E Macierowski | 26 Spruce Ln, Oakdale, CT 06370 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
Emily E Covill | 21 Pennsylvania Ave., Oakdale, CT 06370 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Chalisa Napierski | 742 Raymond Hill Road, Oakdale, CT 06370 | Real Estate Salesperson | ~ |
Imre David Magyar I I I | 712 Raymond Hill Road, Oakdale, CT 06370 | Casino Class I Employee | 2020-01-10 ~ 2020-03-09 |
Dana Dort | 11 Sandpiper Lane, Oakdale, CT 06370 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06370 |
City | OAKDALE |
Zip Code | 06370 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + OAKDALE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark Schulthess | 67 Stevens Rd, Hudson, MA 01749-2874 | Physician Assistant | 2016-07-01 ~ 2017-06-30 |
Mark E Lund | 530 South 2nd St, Philadelphia, PA 19147 | Physician Assistant | 1994-06-21 ~ 1995-06-30 |
Mark E Taafel | 41 Edgehill Ave, Waterbury, CT 06704-1825 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Mark Eldridge | 71 Dorrance Street, Hamden, CT 06518 | Physician Assistant | 1994-09-12 ~ 1995-10-31 |
Mark C Morris | 13 Forest Glen Circle, Middletown, CT 06457 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Mark Gregory Elsesser | 75 Chelsea Dr, Mount Sinai, NY 11766-2711 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Mark Coman Pa | Middlesex Hospital 28 Crescent St, Middletown, CT 06457 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Susan St Jacques Pa · Maiden Name-wiegert | 33 North Mark Drive, Oxford, CT 06478 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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 |
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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).