BRYAN E STANISLAUS PA (Credential# 743466) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.
BRYAN E STANISLAUS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001717. The credential type is physician assistant. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 3922 Wedonia Dr, Cary, NC 27519-6629. The current status is inactive.
Licensee Name | BRYAN E STANISLAUS PA |
Credential ID | 743466 |
Credential Number | 23.001717 |
Credential Type | Physician Assistant |
Business Address |
3922 Wedonia Dr Cary NC 27519-6629 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-11-01 |
Effective Date | 2012-05-01 |
Expiration Date | 2013-04-30 |
Refresh Date | 2013-08-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
423147 | CSP.0038598 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-12-05 | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 3922 WEDONIA DR |
City | CARY |
State | NC |
Zip Code | 27519-6629 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea L Leschak | 14405 Pine Perch Street, Cary, NC 27519 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Rupa Sen | 204 Candia Lane, Cary, NC 27519 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Essuman Jojo Acquaah | 10209 Resident Cir, Cary, NC 27519 | Tax Preparer/facilitator Permit | 2020-01-05 ~ 2022-01-31 |
Mary L Affee | 22017 Bradford Green Sq, Cary, NC 27519 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
Melanie L. Braganza | 3449 Sienna Hill Pl, Cary, NC 27519 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Daniel Arthur Shultis | 102 Spindle Creek Ct, Cary, NC 27519 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Raphael I Mohamed | 6921 Palaver Lane, Cary, NC 27519 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Patrick P Barry | 201 Glebe Way, Cary, NC 27519 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Samuel B Brindis | 314 Burgwin Wright Way, Cary, NC 27519 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Vinay K Ananthachar | 1404 Glenwater Dr, Cary, NC 27519 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 27519 |
City | CARY |
Zip Code | 27519 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + CARY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori Sch St Stanislaus | 492 West Street, Bristol, CT 06010 | Child Care Center | 2002-05-20 ~ 2003-07-02 |
St Stanislaus Church | 82 Akron St, Meriden, CT 06450-5717 | Raffle Permit Class 1 | 2017-06-24 ~ 2017-09-24 |
St Stanislaus Church | 9 Eld St, New Haven, CT 06511-3815 | Raffle Permit Class 1 | 2017-07-10 ~ 2017-09-10 |
Bryan T Danna Pa-c | 92 Genesee Ln, Madison, CT 06443-1666 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Bryan K Oditt Pa | 64 Three Acre Rd, Groton, CT 06340 | Physician Assistant | 2006-01-30 ~ 2007-03-31 |
Bryan D Walker Pa | Po Box 204383, New Haven, CT 06520 | Physician Assistant | 2003-09-17 ~ 2004-10-31 |
Bryan P Haggerty | 529 Fenn Rd, Newington, CT 06111 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
St Stanislaus School Readiness | 81 Akron Street, Meriden, CT 06450 | Child Care Center | ~ |
St Stanislaus Kostka Church | 86 E Farm St, Waterbury, CT 06704-3603 | Sealed Ticket Permit Weekly | 2016-11-28 ~ 2017-12-31 |
St Stanislaus Church Corp | 510 West St, Bristol, CT 06010-4957 | Bazaar Permit Class 3 | 2017-09-09 ~ 2017-09-10 |
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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).