BRITTANY GIAMMALVO (Credential# 2002502) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
BRITTANY GIAMMALVO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004808. The credential type is physician assistant. The effective date is May 6, 2020. The expiration date is March 31, 2021. The business address is 5 Jean Dr, Old Lyme, CT 06371-1514. The current status is active.
| Licensee Name | BRITTANY GIAMMALVO |
| Credential ID | 2002502 |
| Credential Number | 23.004808 |
| Credential Type | Physician Assistant |
| Business Address |
5 Jean Dr Old Lyme CT 06371-1514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-06 |
| Effective Date | 2020-05-06 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2043894 | CSP.0073971 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-05-11 | 2020-05-11 - 2021-02-28 | ACTIVE |
| Street Address | 5 JEAN DR |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle C Kuczkowski | 3 Jean Dr, Old Lyme, CT 06371-1514 | Speech and Language Pathologist | 2019-11-01 ~ 2020-10-31 |
| Thomas C Quigley | 4 Jean Dr, Old Lyme, CT 06371-1514 | Physical Therapist | 2011-09-29 ~ 2012-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany L Bordonaro | 114 Woodland St, Hartford, CT 06105-1208 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Brittany Michelle Wozniak | 80 Seymour St, Hartford, CT 06106-3315 | Physician Assistant | ~ |
| Brittany L Rahmberg | Concentra, Springfield, MA 01104 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Brittany Alexandra Ramos | 119 Simpkins Dr, Bristol, CT 06010-9011 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Brittany Adamski | Hartford Hospital Family Health Center, Enfield, CT 06082 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Brittany A. Tatro | 64 Fox St, West Springfield, MA 01089-2633 | Occupational Therapist Assistant | 2011-08-01 ~ 2013-07-31 |
| Brittany Bombardier | 15 Monroe St Apt 15 C, Milford, CT 06460 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Brittany Mariani | 49 Walnut St, Southington, CT 06489-2333 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Brittany Le Czerniewski | 72 East Main St, Wallingford, CT 06492 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on BRITTANY GIAMMALVO.
| 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).