LARA L KOKENOS PA-C (Credential# 743912) 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.
LARA L KOKENOS PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002163. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 41 Bartling Dr, Easton, CT 06612-2006. The current status is active.
Licensee Name | LARA L KOKENOS PA-C |
Credential ID | 743912 |
Credential Number | 23.002163 |
Credential Type | Physician Assistant |
Business Address |
41 Bartling Dr Easton CT 06612-2006 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-09-22 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
516652 | CSP.0044732 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-10-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 41 BARTLING DR |
City | EASTON |
State | CT |
Zip Code | 06612-2006 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stacy L Belanger | 140 Stepney Road, Easton, CT 06612 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Gwen C Easdon | 888 Sport Hill Rd, Easton, CT 06612 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Jessica Lynne Oliver | 4 Lilac Lane, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Sarah E Grega | 412 Sport Hill Road, Easton, CT 06612 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Pierre H Estime Do | 45 Meadow Ridge Drive, Easton, CT 06612 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Melissa Ann Liik | 1092 Black Rock Turnpike, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Stephen Izzo · H. Roark Woodworking | 56 Burr Street, Easton, CT 06612 | Home Improvement Contractor | 2020-06-16 ~ 2020-11-30 |
Louise Weintraub Linsky | 45 Ridgeway Road, Easton, CT 06612 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Ewa B Dembosky | 14 Crescent Drive, Easton, CT 06612 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
Andrew S Nemergut | 706 North Park Avenue, Easton, CT 06612 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06612 |
City | EASTON |
Zip Code | 06612 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + EASTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
L V Lara LLC | 24 Maple Br, Meriden, CT 06451-3022 | Home Improvement Contractor | 2009-06-23 ~ 2009-11-30 |
Pedro Lara Jr · Contracts By Lara | 24 Buckley Ave, Bristol, CT 06010 | Emergency Medical Technician | 2019-10-01 ~ 2022-09-30 |
Edgar L Lara · Lara Landscaping | 133 Grove St, New Milford, CT 06776 | Home Improvement Contractor | 2003-12-04 ~ 2004-11-30 |
Nerys Lara · Lara Landscaping | 9 Cowing Court, Stamford, CT 06906 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
Lara Addesso | 100 Retreat Ave, Hartford, CT 06106 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
Lara Wiziecki | 1945 Lakepointe Dr, Lewisville, TX 75057-6424 | Physician/surgeon | ~ |
Lara Market | 1010 Kennedy Rd, Windsor, CT 06095-1303 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
Lara Dao Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-02-26 ~ 2010-02-25 |
Lara Construction LLC | 81 Chatham St, New Haven, CT 06513-3217 | Home Improvement Contractor | 2019-02-20 ~ 2019-11-30 |
Tatiana Lara Ospina | 299 Colt Hwy Apt 234, Farmington, CT 06032-3093 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).