BRYNA L AVENIA PAC (Credential# 742551) 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.
BRYNA L AVENIA PAC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000802. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 57 Lynette Ct, New Hartford, CT 06057-3225. The current status is active.
Licensee Name | BRYNA L AVENIA PAC |
Credential ID | 742551 |
Credential Number | 23.000802 |
Credential Type | Physician Assistant |
Business Address |
57 Lynette Ct New Hartford CT 06057-3225 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-01-01 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
211432 | CSP.0028108 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-04-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
868500 | 70.951189 | Emergency Medical Technician | 1995-05-24 | - 1997-06-30 | INACTIVE |
Street Address | 57 LYNETTE CT |
City | NEW HARTFORD |
State | CT |
Zip Code | 06057-3225 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary C Barden | 45 Burgoyne Hyts, New Hartford, CT 06057 | Emergency Medical Technician | ~ |
Haylee A Comerford | 506 Townhill Road, New Hartford, CT 06057 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
Michele Gautieri | 11 Stedman Road, New Hartford, CT 06057 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Jane M Romano | 300 Cottonhill Rd, New Hartford, CT 06057 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Savannah M Marcus | 72 Evergreen Xing, New Hartford, CT 06057 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Won A Lee | 220 Main St Unit#7e, New Hartford, CT 06057 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-06-30 |
Maria Moscarillo | 340 Cotton Hill Road, New Hartford, CT 06057 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Vipin J Patel · Marandino Spirits | 141 Main St, New Hartford, CT 06057 | Package Store Liquor | 2020-08-04 ~ 2021-08-03 |
Dimitrios Karouta | 831 West Hill Road, New Hartford, CT 06057 | Real Estate Salesperson | ~ |
Ariadna Z Garcarz | 7 Stonegate Rd, New Hartford, CT 06057 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06057 |
City | NEW HARTFORD |
Zip Code | 06057 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + NEW HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bryna J Solon | 15 Old Orchard Rd, Easton, CT 06612-1821 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Bryna R Schocket | 281 Thorme Street, Bridgeport, CT 06600 | Notary Public Appointment | 1962-07-11 ~ 1967-03-31 |
Bryna L Pauker | 155 Lakeview Terrace, New Haven, CT 06515 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Bryna W Callahan | 1238 Hartford Tpke, Vernon, CT 06066 | Licensed Practical Nurse | 1999-10-06 ~ 2000-11-30 |
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 |
Rebecca A Avenia | 14 Clarendon St, Stratford, CT 06614-4718 | Hairdresser/cosmetician | 2019-07-01 ~ 2021-06-30 |
Gregory Avenia | 275 Promenade St Ste 100, Providence, RI 02908-5755 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
Michelle Avenia | 14 Clarendon St, Stratford, CT 06614-4718 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Ian M Avenia Tapper | 50 Evergreen St Apt 26, Jamaica Plain, MA 02130-1134 | Physical Therapist | 2013-11-14 ~ 2014-04-30 |
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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).