VANESSA BOCCACCIO STOCKFORD (Credential# 1212394) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
VANESSA BOCCACCIO STOCKFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003119. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 23 Oakwood Dr, Gales Ferry, CT 06335-1630. The current status is active.
| Licensee Name | VANESSA BOCCACCIO STOCKFORD |
| Credential ID | 1212394 |
| Credential Number | 23.003119 |
| Credential Type | Physician Assistant |
| Business Address |
23 Oakwood Dr Gales Ferry CT 06335-1630 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1234307 | CSP.0058083 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 23 OAKWOOD DR |
| City | GALES FERRY |
| State | CT |
| Zip Code | 06335-1630 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Crystal A Shaw | 13 Oakwood Dr, Gales Ferry, CT 06335-1630 | Dental Hygienist | 2020-02-01 ~ 2021-01-31 |
| The Dogs Day Spa | 27 Oakwood Dr, Gales Ferry, CT 06335-1630 | Grooming Facility | 2012-01-10 ~ 2012-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally M Derusha · Mccrea | 8 Brewster Drive, Gales Ferry, CT 06335 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Melissa A Kearney · Seidel | 853 Long Cove Rd, Gales Ferry, CT 06335 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Thomas Mcgarry | 1649 Ct-12, Gales Ferry, CT 06335 | Cross Connection Survey Inspector | 2020-03-05 ~ 2022-12-31 |
| Barbara J Smith | 5 Woodridge Circle, Gales Ferry, CT 06335 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Mary E Hurley | 8 Cornell Court, Gales Ferry, CT 06335 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Hanson Aprn | 31 Washington Drive, Gales Ferry, CT 06335 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts #331844 · J J M A Donuts LLC | 1662 Route 12, Gales Ferry, CT 06335 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Mcdonalds | 1678 Rte 12, Gales Ferry, CT 06335 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Carol A Collette | 2 Stonybrook Rd, Gales Ferry, CT 06335 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Reginald L Weed · R L Weed Company | 52a Vinegar Hill Rd, Gales Ferry, CT 06335 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06335 | |||
| City | GALES FERRY |
| Zip Code | 06335 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GALES FERRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth P Boccaccio | 1006 Heahwood Dairy, Apex, NC 27502 | Physician Assistant | 1996-06-21 ~ 1997-06-30 |
| Jean Boccaccio · Boccaccio | 719 Cypress Rd, Newington, CT 06111-5605 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Bashkim Ismaili · Boccaccio | 4 Cottontail Road, New Fairfield, CT 06812 | Restaurant Liquor | 2004-03-19 ~ 2005-03-18 |
| Vanessa Fallica | 15 Ridgedale Ave, Farmingville, NY 11738 | Physician Assistant | ~ |
| Vanessa L Barber | 48 Glen Ave, Stamford, CT 06906 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Vanessa Tania Damm | Orthoconnecticut, PC, Norwalk, CT 06851 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Boccaccio Restaurant · Bashkim Ismaili | 4 Cottontail Sq, New Fairfield, CT 06812 | Bakery | 2004-07-01 ~ 2005-06-30 |
| Diane Boccaccio Sabol | 10 Countryside Drive, Rocky Hill, CT 06067 | Certified Public Accountant Firm Permit | 1992-01-09 ~ 1992-12-31 |
| Vanessa C Pacholski | 1289 Enfield St, Enfield, CT 06082-4921 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Vanessa R Frenette | 187 Lake St, Moosup, CT 06354-1912 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on VANESSA BOCCACCIO STOCKFORD.
| 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).