ANTHONY R. YVANOVICH (Credential# 928409) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
ANTHONY R. YVANOVICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002408. The credential type is physician assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 13527 Falcon Ridge Rd, Corona, CA 92880-9095. The current status is active.
Licensee Name | ANTHONY R. YVANOVICH |
Credential ID | 928409 |
Credential Number | 23.002408 |
Credential Type | Physician Assistant |
Business Address |
13527 Falcon Ridge Rd Corona CA 92880-9095 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2010-05-19 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2019-12-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
936629 | CSP.0047808 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-25 | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 13527 FALCON RIDGE RD |
City | CORONA |
State | CA |
Zip Code | 92880-9095 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Charles H Scott | 4210 Green River Rd, Corona, CA 92880-1669 | Electrical Limited Contractor | ~ |
Costco Wholesale Corp | 215 Deininger Cir Ste A, Corona, CA 92880-1707 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Actavis Pharma, Inc | 2455 Wardlow Rd, Corona, CA 92880-2891 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2016-07-01 ~ 2017-06-30 |
Han Suk Kim | 12855 Maryland Ave, Eastvale, CA 92880-6200 | Dentist | 2018-02-01 ~ 2019-01-31 |
Aidarex Pharmaceuticals LLC | 595 N Smith Ave Ste B, Corona, CA 92880-6920 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
Patience R Akhimien | 6515 Red Oak Dr, Corona, CA 92880-8651 | Registered Nurse - Temporary | 2013-12-06 ~ 2014-04-04 |
Aseptic Solutions Usa | 484 Alcoa Cir, Corona, CA 92880-9323 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
All Rise Records Inc · Got Vape | 3175 Palisades Dr, Corona, CA 92880-9432 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-06-24 ~ 2021-02-28 |
Parker House Mfg Co Inc | 6300 Providence Way, Eastvale, CA 92880-9636 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maria N Lemache Padilla | 34-130 110th St, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Odila Calel Pixcar | 35-57 97th St 3fl, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Maria M Huerta | 194-19 37 Drive 4fl, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
Rebeco Ortega | 34-60 111th St Apt #2, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Olga J Lemache Bravo | 34-70 112st, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Xinzhan Chen | 10823 39th Ave., Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Maria Carmen Guacho Bunay | 100-28 40rd 2nd Fl, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mercedes Quispe Supanta | 35-30 104st 2nd Fl, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Lucero Juarez Onofre | 34-62 111st Apt 3fl, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-25 ~ 2022-03-31 |
Xile Lin | 108-31 37th Ave Apt 1fl, Corona, NY 11368 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in CORONA |
City | CORONA |
Zip Code | 92880 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + CORONA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anthony J Vannucci | 5c Pineview Dr, Branford, CT 06405-2430 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Edward Anthony Pacitti | 142 Ely Ave, West Springfield, MA 01089-2286 | Physician Assistant | ~ |
Anthony Pazienza Pa-c | 27 Masthead Dr, Norwell, MA 02061 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Anthony J Maselli Pa | 9 W Broadway, Boston, MA 02127-1039 | Physician Assistant | 2014-12-01 ~ 2015-11-30 |
Anthony Salvo | 72 Tripp St, Bedford Corners, NY 10549-4624 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
Anthony J Labadia | 141 Lexington Street, Bristol, CT 06010 | Physician Assistant | 1997-02-26 ~ 1998-04-30 |
Anthony G Huff Pa-c | 2 Center Street, Newark, NJ 07102-4100 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
Anthony Capobianco Pa | 2200 Whitney Ave Ste 360, Hamden, CT 06518-3694 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Anthony D Piland Sr | Po Box 1484, West Tisbury, MA 02575-1484 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
Anthony J Pandolfo | 20 Sunset Avenue, Pawling, NY 12564 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
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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).