ELAINE K BONOAN PA (Credential# 742643) 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.
ELAINE K BONOAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000894. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 3 Hunting Lane, North Haven, CT 06473. The current status is active.
| Licensee Name | ELAINE K BONOAN PA |
| Credential ID | 742643 |
| Credential Number | 23.000894 |
| Credential Type | Physician Assistant |
| Business Address |
3 Hunting Lane North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-12-22 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 229147 | CSP.0029227 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3 HUNTING LANE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elaine Larson | 52 David Lane, Northford, CT 06472 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Elaine Grant | 10873 Ramblewood Ave., Baton Rouge, LA 70810 | Physician Assistant | 2009-10-01 ~ 2010-09-30 |
| Elaine Accorsini Rpa-c | 3 Timberwood Place, South Salem, NY 10590 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Elaine Mangini | 94 Freeman Ridge Road, Trenton, ME 04679 | Physician Assistant | 2018-03-02 ~ 2018-08-31 |
| Nieve Marie Lagasca Bonoan | 9309 Helmsley Drive, Cordova, TN 38016 | Registered Nurse | ~ |
| Elenita S Bonoan | 32 Benham Hill Place, Hamden, CT 06514 | Real Estate Salesperson | ~ |
| 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 |
| Christy M Dalton | 28 Elaine Dr, Monroe, CT 06468-2408 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Elaine M Esmilio | 710 Long Ridge Rd., Stamford, CT 06902 | Physical Therapist Assistant | ~ 2006-11-01 |
| Elaine S Kirby | 120 E. Strawberry Hill, Stamford, CT 06901 | Physical Therapist Assistant | ~ 2006-11-01 |
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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).