RICHARD T DIBELLA PA (Credential# 742395) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 11, 2003. The license expiration date date is October 31, 2004. The license status is INACTIVE.
RICHARD T DIBELLA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000646. The credential type is physician assistant. The effective date is September 11, 2003. The expiration date is October 31, 2004. The business address is 518-a Iroquois Lane, Stratford, CT 06614. The current status is inactive.
| Licensee Name | RICHARD T DIBELLA PA |
| Credential ID | 742395 |
| Credential Number | 23.000646 |
| Credential Type | Physician Assistant |
| Business Address |
518-a Iroquois Lane Stratford CT 06614 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-03-07 |
| Effective Date | 2003-09-11 |
| Expiration Date | 2004-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 185843 | CSP.0025869 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-06-15 - 2002-02-28 | INACTIVE |
| Street Address | 518-A IROQUOIS LANE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard J Dibella | 29 Morningside Dr, Arlington, MA 02474 | Physician/surgeon | 1998-11-27 ~ 1999-08-31 |
| Augustine Dibella · Dibella Construction | 1 Hoskin Road Apt 6b2, Simsbury, CT 06070 | Home Improvement Contractor | 1995-08-25 ~ 1995-11-30 |
| Dibella's Sub 5 | 1440 Boston Post Rd, Milford, CT 06461 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dibella, LLC | 18 Vine St, New Britain, CT 06052-1431 | Certified Public Accountant Firm Permit | 2017-01-01 ~ 2017-12-31 |
| Mugford & Dibella LLC | 205 West Main Street, New Britain, CT 06052 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Gomola & Dibella, LLP | 272 South Main Street, Middletown, CT 06457 | Certified Public Accountant Firm Permit | 2006-01-01 ~ 2006-12-31 |
| Dibella's Subs | 3583 Berlin Tpke, Newington, CT 06111-5136 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dibella's Subs | 2165 Dixwell Ave, Hamden, CT 06514-2116 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dibella's Subs | 1086 N Colony Rd, Wallingford, CT 06492-1788 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Lucille Dibella | 34 Hoffmann Rd, Canton, CT 06019-2123 | Public Charity-exempt From Financial Requirements | 2011-04-19 ~ |
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| 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).