DAVID L MINGOLELLI (Credential# 1184672) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
DAVID L MINGOLELLI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002987. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 26 Ravenwood Rd, West Hartford, CT 06107-1538. The current status is active.
| Licensee Name | DAVID L MINGOLELLI |
| Credential ID | 1184672 |
| Credential Number | 23.002987 |
| Credential Type | Physician Assistant |
| Business Address |
26 Ravenwood Rd West Hartford CT 06107-1538 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-09-25 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1186490 | CSP.0056181 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-09-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 26 RAVENWOOD RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1538 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Veronica Mw Mingolelli | 26 Ravenwood Rd, West Hartford, CT 06107-1538 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charlotte A Marsh | 34 Ravenwood Rd, West Hartford, CT 06107-1538 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Lisa A Stoddard | 16 Ravenwood Rd, West Hartford, CT 06107-1538 | Massage Therapist | 2020-04-01 ~ 2022-03-31 |
| Robert J Rau Jr | 38 Ravenwood Rd, West Hartford, CT 06107-1538 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Sandra S Chorches · Richard Dewolfe | 50 Ravenwood Rd, West Hartford, CT 06107-1538 | Real Estate Salesperson | 2000-06-01 ~ 2001-05-31 |
| Jessin P Cherian | 42 Ravenwood Rd, West Hartford, CT 06107-1538 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
| David M Lang | 197 Oak Ave., Cheshire, CT 06410 | Physician Assistant | 2004-03-16 ~ 2005-05-31 |
| David Malchman Pa | Po Box 372, N Stonington, CT 06359 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Nina Carusillo | 151 David Rd, Durham, CT 06422-2601 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| David M Hanrahan | 132 River St., Hornell, NY 14843 | Physician Assistant | 2003-01-16 ~ 2004-01-31 |
| David G Stowe Pa | 181 Grayville Rd, Amston, CT 06231-1614 | Physician Assistant | 2012-10-01 ~ 2013-09-30 |
| Philip M. Roach Pa | 3 David Dr, Simsbury, CT 06070-3043 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| David Zirkiyev | 160-40 78th Rd, Fresh Meadows, NY 11366 | Physician Assistant | ~ |
| David O Gargano | 2 Skiff St, Hamden, CT 06514-1801 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| David Kotler | 89 Beverly Dr, Avon, CT 06001 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on DAVID L MINGOLELLI.
| 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).