MICHELLE E MARINONE (Credential# 1489097) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 22, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MICHELLE E MARINONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058395-RES. The credential type is resident physician. The effective date is June 22, 2017. The expiration date is June 30, 2021. The business address is 37 Village Way, Jefferson, MA 01522-1157. The current status is active.
| Licensee Name | MICHELLE E MARINONE |
| Credential ID | 1489097 |
| Credential Number | 1.058395-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
37 Village Way Jefferson MA 01522-1157 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-22 |
| Effective Date | 2017-06-22 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-02-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1430381 | CSP.0065839 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 37 VILLAGE WAY |
| City | JEFFERSON |
| State | MA |
| Zip Code | 01522-1157 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen E Renaud | 110 B Manning Street, Jefferson, MA 01522 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Evan Woodruff | 41 Moscow Road, Jefferson, MA 01522 | Physical Therapist | 2019-03-14 ~ 2019-10-31 |
| Kathryn Elizabeth Lally | 271 Quinapoxet Street, Jefferson, MA 01522 | Master's Level Social Worker | 2018-09-01 ~ 2019-08-31 |
| Alpha P Madsen | 16 Windy Ridge, Jefferson, MA 01522 | Crane Operator | 2002-10-01 ~ 2004-09-30 |
| David Dobson Jr. | 1 - 3 General Hobbs Road, Jefferson, MA 01522 | Crane Operator | 1994-11-24 ~ 1996-11-23 |
| Michele K Earley | 5 Village Way, Jefferson, MA 01522 | Registered Nurse | 2006-10-04 ~ 2007-11-30 |
| Lynn B Fischer | 354 Manning St, Jefferson, MA 01522 | Physical Therapist | 2004-01-05 ~ 2004-10-31 |
| Carole C Lyman · Taylor | 1440 Wachusett St, Jefferson, MA 01522 | Advanced Practice Registered Nurse | 1994-11-17 ~ 1995-12-31 |
| Paul A Ricciardi | 56 Heather Circle, Jefferson, MA 01522 | Physician/surgeon | 1997-05-02 ~ 1998-05-31 |
| Kathryn A Hannam | 5 Slipper Hill Lane, Jefferson, MA 01522 | Athletic Trainer | 2006-10-25 ~ 2007-08-31 |
| Find all Licenses in zip 01522 | |||
| City | JEFFERSON |
| Zip Code | 01522 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + JEFFERSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle M Marinone | 77 Circle Drive, Windsor Locks, CT 06096 | Hairdresser/cosmetician | 2008-07-29 ~ 2010-09-30 |
| Michelle A Lee | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Michelle Kayser | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-05 ~ 2021-06-30 |
| Michelle Yeung | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2020-06-15 ~ 2023-06-20 |
| Michelle Anthony | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2018-06-25 ~ 2022-06-30 |
| Aliza Michelle Cook | 16 Willard St Fl 1, New Haven, CT 06515-2127 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Heather Michelle Ruff | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Michelle Nguyen Maneevese | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-10 ~ 2021-06-30 |
| Alexandra Michelle Laps | 1245 Chapel St Apt 622, New Haven, CT 06511-4660 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Michelle Melo | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2023-06-30 |
Please comment or provide details below to improve the information on MICHELLE E MARINONE.
| 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).