MARIA DE VIVO
Physician Assistant


Address: 118 Oxford Rd, Southport, CT 06890

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 118 OXFORD RD
City SOUTHPORT
State CT
Zip Code 06890

Licenses in the same location

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

Licenses in the same zip code

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

Competitor

Search similar business entities

City SOUTHPORT
Zip Code 06890
License Type Physician Assistant
License Type + County Physician Assistant + SOUTHPORT

Similar businesses

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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

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Dataset Information

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).

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