MICHAEL J GRIFFIN (Credential# 1116245) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
MICHAEL J GRIFFIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002799. The credential type is physician assistant. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 1 Tannery Rd, Fiskdale, MA 01518-1170. The current status is inactive.
| Licensee Name | MICHAEL J GRIFFIN |
| Credential ID | 1116245 |
| Credential Number | 23.002799 |
| Credential Type | Physician Assistant |
| Business Address |
1 Tannery Rd Fiskdale MA 01518-1170 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-08-16 |
| Effective Date | 2016-08-01 |
| Expiration Date | 2017-07-31 |
| Refresh Date | 2017-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1120385 | CSP.0053579 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-08-30 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Griffin | 18 Joseph St, Darien, CT 06820 | Electrical Unlimited Journeyperson | 2019-12-16 ~ 2020-09-30 |
| Michael J Griffin | Glen Grove Rd, Deep River, CT 06417 | Notary Public Appointment | 1983-07-01 ~ 1988-03-31 |
| Michael J Griffin | 17 Grandview Terrace, Vernon, CT 06066 | Public Service Technician - Telephone | 1997-05-21 ~ 1997-09-30 |
| Street Address | 1 TANNERY RD |
| City | FISKDALE |
| State | MA |
| Zip Code | 01518-1170 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Marie Dion | 9 Tannery Rd, Fiskdale, MA 01518-1170 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Abdonne Mbouadeu | 43 Tannery Rd, Sturbridge, MA 01518-1170 | Registered Nurse | 2019-12-19 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles P Everson, Jr. | 12 Laflamme Ln., Fiskdale, MA 01518 | Backflow Prevention Device Tester | 2020-04-01 ~ 2023-03-31 |
| Shannon Elizabeth Sullivan | 6 Wildwood Lane, Sturbridge, MA 01518 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Sherry Diane | 110 Leadmine Lane, Fiskdale, MA 01518 | Speech and Language Pathologist | 2020-06-01 ~ 2021-05-31 |
| Rachel Ann Kopacz | 59 Brookfield Road, Fiskdale, MA 01518 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Victoria Allen Masse | 24 Camp Rd, Fiskdale, MA 01518 | Notary Public Appointment | 2018-02-01 ~ 2023-02-28 |
| Janina Piascik | 56 Clark Road, Fiskdale, MA 01518 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Colonial Restorations LLC | 43 Collette Rd, Fiskdale, MA 01518 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Kimberly Mary Jorge | 588 Main Street, Sturbridge, MA 01518 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Bryan Matter · Handyman Service | 6 Lauren Lane, Fiskdale, MA 01518 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Lisa A Byam-mooney · Goldberg | 84 A Paradise Lane, Sturbridge, MA 01518 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 01518 | |||
| City | FISKDALE |
| Zip Code | 01518 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + FISKDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristina A Delmistro | 10 Griffin Ln, East Williston, NY 11596-1933 | Physician Assistant | 2014-09-24 ~ 2015-08-31 |
| Griffin Daniel Latulippe | 155 Canal Landing Boulevard, Rochester, NY 14626 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michael A Evers | 15 Jenyfer Ct, Shelton, CT 06484 | Physician Assistant | 1995-11-22 ~ 1996-12-31 |
| Michael F Lachowicz | 27 Old Farms Rd, Cheshire, CT 06410-3757 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michael C Drury Pa C | 135 Harbor Ave, Bridgeport, CT 06605-3163 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michael Suprenant Pa-c | 2 Eastview Dr, Simsbury, CT 06070-3010 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Michael J Nolan Pa | 387 Crestwood Dr, Cheshire, CT 06410 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michael S Cremins Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Michael A Vargas Pa | 65 Trumbull Ave, Milford, CT 06460 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on MICHAEL J GRIFFIN.
| 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).