MARK DECORA
Physician Assistant


Address: 47 Beechwood Rd, Oakdale, CT 06370

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 47 BEECHWOOD RD
City OAKDALE
State CT
Zip Code 06370

Licenses in the same zip code

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

Competitor

Search similar business entities

City OAKDALE
Zip Code 06370
License Type Physician Assistant
License Type + County Physician Assistant + OAKDALE

Similar businesses

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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
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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
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Dataset Information

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).

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