JULIANA M SPAGNUOLO (Credential# 1320279) 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.
JULIANA M SPAGNUOLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003538. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 130 Middlebrook Rd, West Hartford, CT 06119. The current status is active.
| Licensee Name | JULIANA M SPAGNUOLO |
| Credential ID | 1320279 |
| Credential Number | 23.003538 |
| Credential Type | Physician Assistant |
| Business Address |
130 Middlebrook Rd West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-02-26 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1339039 | CSP.0062251 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-03-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 130 Middlebrook Rd |
| City | West Hartford |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | West Hartford |
| Zip Code | 06119 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juliana Domfeh | Bronx Lebanon Hospital, Bronx, NY 10457 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Spagnuolo Bake House | 140 Adams St, Newton, MA 02458 | Bakery | 2008-07-01 ~ 2009-06-30 |
| Juliana Oyola | 27 Natureview Trl, Bethel, CT 06801-1454 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Juliana Teles | 432 Connecticut Ave, Newington, CT 06111-2121 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Juliana Liriano | 348 Dorchester Ave, Waterbury, CT 06704 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Maria Juliana Lopez | 47 Essex Ave, Waterbury, CT 06704-1417 | Family Child Care Assistant | 2019-06-04 ~ 2021-06-30 |
| Sabrena Juliana James | 1162 Ogden Street Ext, Bridgeport, CT 06610-2724 | Family Child Care Assistant | 2019-01-09 ~ 2021-01-31 |
| Juliana Ekong | 88 Valley St, Bristol, CT 06010 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Juliana Andrici | Plattenweg 36, Schliern B. Koniz, SZ 3098 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Paul Kensicki Md | 1105 Juliana Court Ste #3, Elizabethtown, KY 42701 | Physician/surgeon | 2004-10-18 ~ 2005-11-30 |
Please comment or provide details below to improve the information on JULIANA M SPAGNUOLO.
| 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).