BRIAN KORN PA (Credential# 742727) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.
BRIAN KORN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000978. The credential type is physician assistant. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 606 Foster St, South Windsor, CT 06074-2958. The current status is inactive.
| Licensee Name | BRIAN KORN PA |
| Credential ID | 742727 |
| Credential Number | 23.000978 |
| Credential Type | Physician Assistant |
| Business Address |
606 Foster St South Windsor CT 06074-2958 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-07-25 |
| Effective Date | 2018-08-01 |
| Expiration Date | 2019-07-31 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 265173 | CSP.0030601 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-07 | 2017-03-01 - 2019-02-28 | LAPSED |
| 856404 | 70.870251 | Emergency Medical Technician | 1987-02-07 | - 1997-04-01 | INACTIVE |
| 876322 | 71.900212 | Advanced Emergency Medical Technician | 1990-03-01 | - 1992-04-01 | INACTIVE |
| Street Address | 606 FOSTER ST |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2958 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Big Dawg Home Improvements LLC | 658 Foster St, South Windsor, CT 06074-2958 | Home Improvement Contractor | 2020-06-23 ~ 2020-11-30 |
| Peter F Dion | 614 Foster St, South Windsor, CT 06074-2958 | Home Improvement Salesperson | 2020-02-24 ~ 2020-11-30 |
| Joy C Nowak · Anderson | 638 Foster St, South Windsor, CT 06074-2958 | Hairdresser/cosmetician | 2018-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael C Korn Pa | 670 Whitney Ave, New Haven, CT 06511-1312 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Brian D O'donnell | Po Box 426, Marshfield Hills, MA 02051-0426 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
| Brian A Karwaski | 68 Chatham Dr, Manchester, CT 06042-8521 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Brian Beltrani | 135 Pearl St Apt 3, Middletown, CT 06457-2823 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Brian C Michaels | 535 East 70 Street, New York, NY 10021 | Physician Assistant | ~ |
| Brian T Maurer Pa | 19 Maple St, Tariffville, CT 06081-9636 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Brian Fillmore | 45 Old Barnabas Road, Woodbridge, CT 06525 1947 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Brian R Theroux Pa | 23 Knight Hill Rd, Clayville, RI 02815 | Physician Assistant | 2004-05-19 ~ 2005-05-31 |
| Brian Michael Picciano | 158 Cherry St Apt 2d, Milford, CT 06460-3446 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Brian P Munday | 222 Penn Dr, West Hartford, CT 06119-1044 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on BRIAN KORN PA.
| 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).