JOHN T CARLSEN PA (Credential# 743333) 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.
JOHN T CARLSEN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001584. The credential type is physician assistant. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 8005 Chelsea Cove, Hopewell Junction, NY 12533. The current status is inactive.
Licensee Name | JOHN T CARLSEN PA |
Credential ID | 743333 |
Credential Number | 23.001584 |
Credential Type | Physician Assistant |
Business Address |
8005 Chelsea Cove Hopewell Junction NY 12533 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-01-04 |
Effective Date | 2018-08-01 |
Expiration Date | 2019-07-31 |
Refresh Date | 2019-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
395527 | CSP.0037015 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-02-07 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 8005 CHELSEA COVE |
City | HOPEWELL JUNCTION |
State | NY |
Zip Code | 12533 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emil Zibrin | 5 Miller Drive, Hopewell Junction, NY 12533 | Architect | 2020-08-01 ~ 2021-07-31 |
Linda M Cisneros | 57 Blackberry Way, Hopewell Jct, NY 12533 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Victoria A Clarke | 1397 Route 82, Hopewell Junction, NY 12533 | Emergency Medical Technician | ~ |
Eileen M Gleeson | 28 Zerner Boulevard, Hopewell Juntion, NY 12533 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Asha Shan Varghese | 228 Route 376, Apt# D1, East Fishkill, NY 12533 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sandra E Schechter | 15 Brodie Road, Hopewell Jct, NY 12533 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
Kathryn M Mcdonnell | 6 Mockingbird Ct, Hopewell Junction, NY 12533 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Theresa Bronzo | 11 Geneva Dr, Hopewell Junction, NY 12533 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Joseph A Pettinella | 35 Burts Path, Hopewell Junction, NY 12533 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Dvora E Spencer | 11 Bykenhulle Rd, Hopewell Junction, NY 12533 | Real Estate Salesperson | 2018-08-15 ~ 2019-05-31 |
Find all Licenses in zip 12533 |
City | HOPEWELL JUNCTION |
Zip Code | 12533 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + HOPEWELL JUNCTION |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
I Carlsen Design LLC | 5 Grandview Ter, Bethel, CT 06801-2312 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Carlsen's Clean Cuts LLC | 31 Orchard Dr, Uncasville, CT 06382-2229 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
Andrea R Carlsen | 75 Prospect St, Suite 105, Huntington, NY 11743 | Physician/surgeon | ~ |
John Voytek | 15 East St, Wallingford, CT 06492-4005 | Physician Assistant | ~ |
John Leach | Po Box 428, Ivoryton, CT 06442 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
John J Sceppa Pa | 259 Argyle Rd, Orange, CT 06477-2915 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
John D D'agata | 20 Country Ln, Windsor, CT 06095-3412 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
John M Glendening Jr | 369 Central Ave, New Haven, CT 06515 | Physician Assistant | 2002-02-01 ~ 2003-02-28 |
John Connelly Pa | 25 Sprin St, Newington, CT 06111 | Physician Assistant | 2007-08-09 ~ 2008-09-30 |
John D Mclean | 2 Oak Ridge Ave, Danbury, CT 06810 | Physician Assistant | 2008-03-07 ~ 2009-04-30 |
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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).