MICHELLE C MEYER (Credential# 1082317) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MICHELLE C MEYER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002783. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1509 E Coeur D Alene Ave, Coeur D Alene, ID 83814-5412. The current status is active.
| Licensee Name | MICHELLE C MEYER |
| Credential ID | 1082317 |
| Credential Number | 23.002783 |
| Credential Type | Physician Assistant |
| Business Address |
1509 E Coeur D Alene Ave Coeur D Alene ID 83814-5412 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-07-19 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1125533 | CSP.0053824 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-10-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1509 E COEUR D ALENE AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-5412 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dhawal A Goradia | 1839 N. Government Way, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Cody Lee Ray | 1387 Kaleigh Ct, Coeur D'alene, ID 83814 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Lawrence D Bub Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Thomas B Jones Md | 601 Front Ave., #502, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christopher J Miller Md | 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| David G Drake | C/o Nighthawk Radiology Services, Coeur D'alene, ID 83814 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Robin Prasad Md | 250 Northwest Blvd #202, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Doreen M Seal · Christiansen | 1121 Shorwood Court, Coeur D Alene, ID 83814 | Licensed Practical Nurse | 2003-03-21 ~ 2004-03-31 |
| Howard M Rosner | 1620 Northwest Blvd #202, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| David D Burdette Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in zip 83814 | |||
| City | COEUR D ALENE |
| Zip Code | 83814 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + COEUR D ALENE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Meyer Pa-c | 85 Seymour St Ste 725, Hartford, CT 06106 | Physician Assistant | 2007-07-09 ~ 2008-08-31 |
| Betsy Meyer | 2 D Arcangelo Drive, Brookfield, CT 06804 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Bryant A Meyer | 2462 San Pietro Cir, Palm Beach Gardens, FL 33410-2970 | Physician Assistant | 2020-04-21 ~ 2020-10-31 |
| Tara Michelle Laforge | 245 5th Ave, New York, NY 10016 | Physician Assistant | ~ |
| Lina Michelle Weber | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Michelle Canning Pa | 9 Common Dr, W Hartford, CT 06107 | Physician Assistant | 2004-10-25 ~ 2005-11-30 |
| Michelle Chiriani | 66 Westlake Dr, Thornwood, NY 10594 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michelle H Kwok | 169 South New Rd, Hamden, CT 06518 | Physician Assistant | 2008-06-17 ~ 2009-06-30 |
| Michelle M James | 222 E 19th St, New York, NY 10003 | Physician Assistant | 2015-02-01 ~ 2016-01-31 |
| Brittany Michelle Wozniak | 80 Seymour St, Hartford, CT 06106-3315 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on MICHELLE C MEYER.
| 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).