MISAEL RODRIGUEZ (Credential# 742414) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MISAEL RODRIGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000665. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 188 Broadway, Milford, CT 06460-5970. The current status is active.
| Licensee Name | MISAEL RODRIGUEZ |
| Credential ID | 742414 |
| Credential Number | 23.000665 |
| Credential Type | Physician Assistant |
| Business Address |
188 Broadway Milford CT 06460-5970 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-07-03 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 192772 | CSP.0026433 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 188 Broadway |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-5970 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie Rodriguez | 40 Prospect Ave Apt 4b, Norwalk, CT 06850-3737 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Marlene Rodriguez | 621 West 135th Street Apt#2a, New York, NY 10031 | Physician Assistant | 2018-06-07 ~ 2018-12-31 |
| 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 |
| Misael Medina | 517 Hampshire St, Lawrence, MA 01841-1040 | Asbestos Abatement Worker | 2014-01-01 ~ 2014-12-31 |
| Misael S Cortez | 70 Dorman St, New Haven, CT 06511-1024 | Home Improvement Salesperson | 2019-04-08 ~ 2019-11-30 |
| Misael Mercedes | 335 Norton St, New Haven, CT 06511-7115 | Asbestos Abatement Worker | 2016-07-26 ~ 2017-09-30 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Misael G Sandoval | 777 Park Street, #2b, Hartford, CT 06106 | Asbestos Abatement Worker | 2000-09-07 ~ 2001-09-30 |
| Misael Padilla | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 1998-10-04 ~ 2000-10-03 |
| Misael Centeno | 60 Goodrich Street, Hartford, CT 06114 | Real Estate Salesperson | ~ |
Please comment or provide details below to improve the information on MISAEL RODRIGUEZ.
| 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).