BRYAN E STANISLAUS PA
Physician Assistant


Address: 3922 Wedonia Dr, Cary, NC 27519-6629

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 3922 WEDONIA DR
City CARY
State NC
Zip Code 27519-6629

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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
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Competitor

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City CARY
Zip Code 27519
License Type Physician Assistant
License Type + County Physician Assistant + CARY

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Dataset Information

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).

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