GRACIELA WEST (Credential# 743785) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
GRACIELA WEST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002036. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 39 Fernwood Dr, Cheshire, CT 06410. The current status is active.
| Licensee Name | GRACIELA WEST |
| Credential ID | 743785 |
| Credential Number | 23.002036 |
| Credential Type | Physician Assistant |
| Business Address |
39 Fernwood Dr Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-11-29 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1225996 | CSP.0057249 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 39 Fernwood Dr |
| City | Cheshire |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | Cheshire |
| Zip Code | 06410 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Cheshire |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlin M Fabian | 515 West Ave, Norwalk, CT 06850-4050 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Brandon Oto | 133 Argyle Ave, West Hartford, CT 06107 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Derek P Elliott Sr | P.o. Box 162, West Groton, MA 01472 | Physician Assistant | 2005-07-21 ~ 2006-04-30 |
| Theresa Mae Labrecque | 50 West Street, Belchertown, MA 01007 | Physician Assistant | ~ |
| Michelle Ana Figueroa | 26 Christopher Ter, West Springfield, MA 01089-4523 | Physician Assistant | ~ |
| Kathryn B Fuss | 515 West Ave Apt 332, Norwalk, CT 06850-4039 | Physician Assistant | 2019-11-15 ~ 2020-11-30 |
| Joel M Burgos | 115 West St, Cromwell, CT 06416-1929 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Brooke E Cheema | P.o. Box 211 Rt 27, West Southport, ME 04576 | Physician Assistant | 1996-03-29 ~ 1996-12-31 |
| Modesta Asante | 159 West 195th St, Bronx, NY 10468 | Physician Assistant | ~ |
| Edward Anthony Pacitti | 142 Ely Ave, West Springfield, MA 01089-2286 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on GRACIELA WEST.
| 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).