THERESA M YACOVONE
Physician Assistant


Address: 285 Elllendale Circle, Springfield, MA 01128

THERESA M YACOVONE (Credential# 743710) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 28, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.

Business Overview

THERESA M YACOVONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001961. The credential type is physician assistant. The effective date is April 28, 2008. The expiration date is April 30, 2009. The business address is 285 Elllendale Circle, Springfield, MA 01128. The current status is inactive.

Basic Information

Licensee Name THERESA M YACOVONE
Credential ID 743710
Credential Number 23.001961
Credential Type Physician Assistant
Business Address 285 Elllendale Circle
Springfield
MA 01128
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-09-10
Effective Date 2008-04-28
Expiration Date 2009-04-30
Refresh Date 2009-08-13

Office Location

Street Address 285 Elllendale Circle
City Springfield
State MA
Zip Code 01128

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michelle A Kelly 90 Blueberry Hill Street, Springfield, MA 01128 Notary Public Appointment 2015-02-01 ~ 2020-01-31
Melissa Otero 79 Driftwood Road, Springfield, MA 01128 Master's Level Social Worker 2020-04-01 ~ 2021-03-31
Thompson Real Estate Group Inc 6 Driftwood Rd, Springfield, MA 01128 Real Estate Broker 2020-04-01 ~ 2021-03-31
Mary Bouchereau 40 Skyridge Lane, Springfield, MA 01128 Registered Nurse 2020-05-01 ~ 2021-04-30
Steven T Wondolowski 53 Driftwood Rd, Springfield, MA 01128 Electrical Unlimited Journeyperson 2020-01-30 ~ 2020-09-30
Paul E Dufresne 17 Helberg Rd, Springfield, MA 01128 Pharmacist 2020-02-01 ~ 2022-01-31
James E Cormier 101 Fair Oak Road, Springfield, MA 01128 Notary Public Appointment 2013-04-01 ~ 2018-03-31
Collette Simonne Pomaquiza 345 Cooley Street, Springfield, MA 01128 Notary Public Appointment 2013-08-19 ~ 2018-08-31
Robert L Taddia 2078 Parker Street, Springfield, MA 01128 Notary Public Appointment 2013-11-12 ~ 2018-11-30
Renee N Fagan 178 Oak Hollow Road, Springfield, MA 01128 Notary Public Appointment 2015-07-15 ~ 2020-07-31
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City Springfield
Zip Code 01128
License Type Physician Assistant
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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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