REBECCA L KATKOCIN (Credential# 743742) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
REBECCA L KATKOCIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001993. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 2 Byebrook Court, New Fairfield, CT 06812. The current status is active.
| Licensee Name | REBECCA L KATKOCIN |
| Credential ID | 743742 |
| Credential Number | 23.001993 |
| Credential Type | Physician Assistant |
| Business Address |
2 Byebrook Court New Fairfield CT 06812 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-10-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 486339 | CSP.0042777 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 841950 | 70.002216 | Emergency Medical Technician | 2002-03-26 | 2002-03-26 - 2003-06-30 | INACTIVE |
| Street Address | 2 BYEBROOK COURT |
| City | NEW FAIRFIELD |
| State | CT |
| Zip Code | 06812 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Pepin | 16 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | ~ |
| Antoinett L Crawford | 60 Beaver Bog, New Fairfield, CT 06812 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Goodie Shoppe LLC (the) | 1 Brush Hill Rd, New Fairfield, CT 06812 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jeffrey R Logel · Fairwood Wine & Liquor | 17 Route 39 Shaw's Plaza, New Fairfield, CT 06812 | Package Store Liquor | 2020-08-11 ~ 2021-08-10 |
| Joseph G Dimyan | 1 Lloyd Avenue, New Fairfield, CT 06812 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Melanie Porter | 2 High Trail Ci Rd, New Fairfield, CT 06812 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
| Dara E O'toole | 15 Muller Street, New Fairfield, CT 06812 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Anita Michelle Thompson | 15 Bauer Road, New Fairfield, CT 06812 | Registered Nurse | ~ |
| Maureen Salerno · Schully | 4 Old Orchard Road, New Fairfield, CT 06812 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| John N Devito IIi IIi | 9 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06812 | |||
| City | NEW FAIRFIELD |
| Zip Code | 06812 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Wong | 61-17 231st, Bayside, NY 11364 | Physician Assistant | ~ |
| Rebecca E Holberg Pa | 55 Nye Road, Glastonbury, CT 06033 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Rebecca R Scarano | 102 Dinsorette Ln, Apex, NC 27539-9032 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
| Rebecca L Hill | 341 Hudson Ave, Beacon, NY 12508-3621 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
| Rebecca D Jeffery | 28 Far Horizon Dr, Cheshire, CT 06410-2812 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Karlowicz | 16 Woodmont Cir, East Haddam, CT 06423-1565 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Rebecca Press | 17 Pepperbush Lane, Glastonbury, CT 06033 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Rebecca E Score Pa | 200 West Road, Ellington, CT 06029 | Physician Assistant | 1999-06-11 ~ 2000-04-30 |
| Rebecca J Brandenburg Pa | 274 Noble St, West Haven, CT 06156 | Physician Assistant | 2008-03-14 ~ 2009-04-30 |
| Rebecca O'neill | 3 Wessels Place, Greenwich, CT 06830 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).