MIRIAM E VITALE
Physician Assistant


Address: 46 Ash Swamp Rd, Woodbury, CT 06798-2919

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 46 ASH SWAMP RD
City WOODBURY
State CT
Zip Code 06798-2919

Licenses in the same location

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

Licenses in the same zip code

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

Competitor

Search similar business entities

City WOODBURY
Zip Code 06798
License Type Physician Assistant
License Type + County Physician Assistant + WOODBURY

Similar businesses

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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Dataset Information

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).

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