LAURA M GRILLO (Credential# 1193178) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LAURA M GRILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003042. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 379 Main St, South Windsor, CT 06074-3910. The current status is active.
| Licensee Name | LAURA M GRILLO |
| Credential ID | 1193178 |
| Credential Number | 23.003042 |
| Credential Type | Physician Assistant |
| Business Address |
379 Main St South Windsor CT 06074-3910 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-12-30 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1200742 | CSP.0056554 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-01-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 850582 | 70.010849 | Emergency Medical Technician | 2009-06-23 | 2011-04-02 - 2011-03-31 | INACTIVE |
| Street Address | 379 MAIN ST |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-3910 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas L Grillo | 379 Main St, South Windsor, CT 06074-3910 | Emergency Medical Technician | 2012-02-21 ~ 2014-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirsten D Grillo | 49 Palmer Ave, Winsted, CT 06098-1833 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Rebecca J Grillo Pa | 2200 Whitney Avenue, Hamden, CT 06518-3602 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Rocco F Grillo · Grillo Market | 137 Campbell Avenue, West Haven, CT 06516 | Grocery Beer | ~ 1999-10-14 |
| John Grillo · Grillo Construction | 218 Park Road, Oxford, CT 06478 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Laura M Kielb Pa-c | 26 Bartlett Ct, Wilbraham, MA 01095-1705 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Laura K Lok Pa | 6 Wood Creek Rd, Burlington, CT 06013 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laura D Wilk Pa | 539 Smithtown Ave, Bohemia, NY 11716 | Physician Assistant | 2007-10-03 ~ 2008-10-31 |
| Laura Jeanblanc | 21 Chatfield Dr, Lakeville, CT 06039 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Laura C Kozol | 97 Avonridge, Avon, CT 06001 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).