MIRIAM E VITALE (Credential# 742440) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MIRIAM E VITALE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000691. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 46 Ash Swamp Rd, Woodbury, CT 06798-2919. The current status is active.
Licensee Name | MIRIAM E VITALE |
Credential ID | 742440 |
Credential Number | 23.000691 |
Credential Type | Physician Assistant |
Business Address |
46 Ash Swamp Rd Woodbury CT 06798-2919 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-01-02 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-01-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
192679 | CSP.0026578 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-04-11 - 2021-02-28 | ACTIVE |
Street Address | 46 ASH SWAMP RD |
City | WOODBURY |
State | CT |
Zip Code | 06798-2919 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas J Walzer | 46 Ash Swamp Rd, Woodbury, CT 06798-2919 | Provisional Real Estate Appraiser | 2019-05-01 ~ 2020-02-01 |
Bette G Furn | 46 Ash Swamp Rd, Woodbury, CT 06798 | Psychologist | 2002-06-06 ~ 2003-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Find all Licenses in zip 06798 |
City | WOODBURY |
Zip Code | 06798 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WOODBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Linda A Vitale Pa | 96a Truman Street, Norwalk, CT 06850 | Physician Assistant | 2004-01-07 ~ 2005-02-28 |
Miriam Feinstein | 245 Lakeview Ter, New Haven, CT 06515-1812 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Miriam Kristen Wiggins | 166 Nottingham Dr, East Longmeadow, MA 01028-2631 | Physician Assistant | ~ |
Miriam Meyerson Borsch | 26 Quail Run Road, Woodbury, CT 06798 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Vitale Construction LLC | 58 Crestwood Rd, Stratford, CT 06614-1407 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
Robert M Vitale · Vitale Realty | 1631 E Main St, Waterbury, CT 06705 | Real Estate Broker | 2017-04-01 ~ 2018-03-31 |
Miriam F Andrade | 30 Dobson St, Bridgeport, CT 06606-1600 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Miriam Merluzzo | 23 Mason Street, Peabody, MA 01960 | Occupational Therapist Assistant | 1997-07-15 ~ 1999-07-31 |
Miriam Vega | 140 St Sphens Rd, Bridgeport, CT 06605 | Family Child Care Assistant | 1999-05-07 ~ |
Paul J Vitale Cpa | 1224 Main St, Branford, CT 06405-3778 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
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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).