ROBERT J KUPIS (Credential# 742642) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ROBERT J KUPIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000893. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 107 Pennsylvania Ave, Niantic, CT 06357-2509. The current status is active.
| Licensee Name | ROBERT J KUPIS |
| Credential ID | 742642 |
| Credential Number | 23.000893 |
| Credential Type | Physician Assistant |
| Business Address |
107 Pennsylvania Ave Niantic CT 06357-2509 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-12-20 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 228935 | CSP.0029223 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 869484 | 70.960467 | Emergency Medical Technician | 1996-01-24 | - 1998-03-31 | INACTIVE |
| Street Address | 107 PENNSYLVANIA AVE |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357-2509 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher J Gada | 103 Pennsylvania Ave, Niantic, CT 06357-2509 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | NIANTIC |
| Zip Code | 06357 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NIANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren E Kupis | 50 Tower Rd, Oakville, CT 06779-1549 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Adam Robert Sokolowski | 35 Sylvia Ct, Plantsville, CT 06479-1322 | Physician Assistant | ~ |
| Robert L Bligh Jr. | 23 Cortland Way, Newington, CT 06111 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Robert J Brice | 124 Simpson Ave, Wallingford, CT 06492 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Robert J Alfiero Pa | 2 Champion St, Westerly, RI 02891 | Physician Assistant | 2004-06-14 ~ 2005-05-31 |
| Robert Ficara Pa | 30 Farm Lea Dr, Somers, CT 06071-1117 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Robert Greco Pa | 12 Sand Rd, New Milford, CT 06770 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Marc Robert Feldmeier Pa | 41 Hunters Mtn Rd, Oxford, CT 06478 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Robert Michael Drew | 660 N Stacie Ct, Chandler, AZ 85226-1619 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Robert Silva | 721 N Liberty Dr Fl 2, Tomkins Cove, NY 10986-1709 | Physician Assistant | 2020-06-24 ~ 2021-01-31 |
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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).