MARIA DE VIVO (Credential# 1393996) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARIA DE VIVO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003770. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 118 Oxford Rd, Southport, CT 06890. The current status is active.
Licensee Name | MARIA DE VIVO |
Credential ID | 1393996 |
Credential Number | 23.003770 |
Credential Type | Physician Assistant |
Business Address |
118 Oxford Rd Southport CT 06890 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-02-01 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-06-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1401642 | CSP.0064733 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 118 OXFORD RD |
City | SOUTHPORT |
State | CT |
Zip Code | 06890 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rodrigo V Tamayo | 118 Oxford Rd, Southport, CT 06890 | Home Improvement Contractor | 2012-02-15 ~ 2012-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06890 |
City | SOUTHPORT |
Zip Code | 06890 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + SOUTHPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vivo's Painting LLC | 4 Daniels Farm Rd #365, Trumbull, CT 06611 | Home Improvement Contractor | 2007-01-25 ~ 2007-11-30 |
En Vivo Con Maricamen, Org | 309 Ely Ave., Norwalk, CT 06854 | Public Charity | 2020-01-17 ~ 2020-11-30 |
Vivo Capital Fund Ix, L.p. | 142 Lytton Avenue, Palo Alto, CA 94301 | Securities - Exemptions | 2019-11-04 ~ |
Vivo American Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-07-14 ~ 2012-07-13 |
Maria Braune | 229 E 87th St, New York, NY 10128 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
Maria G Bradley Pa | 15 Colony Rd, Milford, CT 06460 | Physician Assistant | 2006-05-30 ~ 2007-05-31 |
Maria Landolina | 12 Canterbury Ln, Windsor, CT 06095-2061 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Maria Paniamogan | 65 Renshaw Rd, Hamden, CT 06518 | Physician Assistant | 2003-02-25 ~ 2004-04-30 |
Maria T Lydon | 215 Marwood Rd., Cabot, PA 16023 | Physician Assistant | 2003-10-27 ~ 2004-09-30 |
Alicia Maria Gettel | 219 High St, Milford, CT 06460-3250 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARIA DE VIVO.
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).