MICHELLE L CAUDLE (Credential# 1283926) 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.
MICHELLE L CAUDLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003325. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 31 Overhill Rd, West Hartford, CT 06117-2036. The current status is active.
| Licensee Name | MICHELLE L CAUDLE |
| Credential ID | 1283926 |
| Credential Number | 23.003325 |
| Credential Type | Physician Assistant |
| Business Address |
31 Overhill Rd West Hartford CT 06117-2036 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1298609 | CSP.0060943 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 31 OVERHILL RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-2036 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tara Michelle Laforge | 245 5th Ave, New York, NY 10016 | Physician Assistant | ~ |
| Michelle Canning Pa | 9 Common Dr, W Hartford, CT 06107 | Physician Assistant | 2004-10-25 ~ 2005-11-30 |
| 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 Sabsels | 509 E 12th St Apt 2c, New York, NY 10009-3891 | Physician Assistant | 2005-09-01 ~ 2006-09-30 |
| Michelle H Kwok | 169 South New Rd, Hamden, CT 06518 | Physician Assistant | 2008-06-17 ~ 2009-06-30 |
| Lina Michelle Weber | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Michelle Chiriani | 66 Westlake Dr, Thornwood, NY 10594 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michelle Ana Figueroa | 26 Christopher Ter, West Springfield, MA 01089-4523 | Physician Assistant | ~ |
| 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 L CAUDLE.
| 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).