KATELYN M MORICO (Credential# 1626678) 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.
KATELYN M MORICO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004397. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 318 Clark Ave, Branford, CT 06405-4704. The current status is active.
| Licensee Name | KATELYN M MORICO |
| Credential ID | 1626678 |
| Credential Number | 23.004397 |
| Credential Type | Physician Assistant |
| Business Address |
318 Clark Ave Branford CT 06405-4704 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1629899 | CSP.0070202 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1181860 | 70.016539 | Emergency Medical Technician | 2013-08-27 | 2016-07-15 - 2019-09-30 | INACTIVE |
| Street Address | 318 CLARK AVE |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-4704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Ciardulli | 326 Clark Ave, Branford, CT 06405-4704 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Jeffrey D. Schardt | 318 Clark Ave # 3, Branford, CT 06405-4704 | Master's Level Social Worker - Temporary Permit | 2020-05-22 ~ 2020-09-13 |
| Brian L Funaro | 306 Clark Ave, Branford, CT 06405-4704 | Real Estate Salesperson | 2014-05-29 ~ 2015-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James M Morico · Morico Paint Cont | 39 Hotchkiss Ln, Hamden, CT 06518 | Home Improvement Contractor | ~ 1995-01-01 |
| Erica Katelyn Lettow | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katelyn Delgrande | 84 Old Pleasant St, Lee, MA 01238-9446 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Katelyn F Tino | 45 Forest Ave, Meriden, CT 06451-5322 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Katelyn B Seiler | 1302 Spruce St, Suffield, CT 06078-1035 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Katelyn Norman | 757 Waterman Rd, Lebanon, CT 06249-2638 | Physician/surgeon | ~ |
| Katelyn Cusmano | 200 College St Apt 547, New Haven, CT 06510-2452 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Katelyn Kane Johnson | 15 Highlandview Ave, Hamden, CT 06517-2513 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Katelyn Crowley | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
| Katelyn Hoyan Wong | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KATELYN M MORICO.
| 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).