MICHELLE C DEMARCO (Credential# 1162010) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.
MICHELLE C DEMARCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002912. The credential type is physician assistant. The effective date is May 1, 2015. The expiration date is April 30, 2016. The business address is 141 Sycamore Cir, Stony Brook, NY 11790-3156. The current status is inactive.
| Licensee Name | MICHELLE C DEMARCO |
| Credential ID | 1162010 |
| Credential Number | 23.002912 |
| Credential Type | Physician Assistant |
| Business Address |
141 Sycamore Cir Stony Brook NY 11790-3156 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-05-22 |
| Effective Date | 2015-05-01 |
| Expiration Date | 2016-04-30 |
| Refresh Date | 2016-08-05 |
| Street Address | 141 SYCAMORE CIR |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-3156 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryann Farina | 100 Patriots Road, Stony Brook, NY 11790 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Karen F Foda | 14 William Penn Dr, Stony Brook, NY 11790 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Gregory D Peterman | 4 Ormont Lane, Stony Brook, NY 11790 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| James R Tauby | 5 Botany Lane, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| William J Lahti | 8 Brookview Ct, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Marie S Anderson | 3 Midfield Street, Stony Brook, NY 11790 | Notary Public Appointment | 1999-08-03 ~ 2004-08-31 |
| Jennifer L H Moller | Post Office Box 78, Stony Brook, NY 11790 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Anthom Building LLC | 8 Shore Road, Stony Brook, NY 11790 | New Home Construction Contractor | 2015-10-02 ~ 2017-09-30 |
| Frank M Russo | 51 Hargrove Drive, Stony Brook, NY 11790 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| James T Suazo | 5 Lilac Drive, Stony Brook, NY 11790 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Find all Licenses in zip 11790 | |||
| City | STONY BROOK |
| Zip Code | 11790 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STONY BROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tara Michelle Laforge | 245 5th Ave, New York, NY 10016 | Physician Assistant | ~ |
| Michelle Ana Figueroa | 26 Christopher Ter, West Springfield, MA 01089-4523 | Physician Assistant | ~ |
| Michelle M James | 222 E 19th St, New York, NY 10003 | Physician Assistant | 2015-02-01 ~ 2016-01-31 |
| 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 L Sabsels | 509 E 12th St Apt 2c, New York, NY 10009-3891 | Physician Assistant | 2005-09-01 ~ 2006-09-30 |
| Brittany Michelle Wozniak | 80 Seymour St, Hartford, CT 06106-3315 | Physician Assistant | ~ |
| Michelle L Vogan Pa | 40 Prospect Ave Apt 1, Norwalk, CT 06850-3737 | Physician Assistant | 2008-10-28 ~ 2009-10-31 |
| Michelle L Dawiczyk | 507 Cat Tail Ln, Manchester, CT 06042-7103 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
Please comment or provide details below to improve the information on MICHELLE C DEMARCO.
| 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).