PAUL C POLZELLA PA (Credential# 742454) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
PAUL C POLZELLA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000705. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 127 South Mill Drive, South Glastonbury, CT 06073. The current status is active.
| Licensee Name | PAUL C POLZELLA PA |
| Credential ID | 742454 |
| Credential Number | 23.000705 |
| Credential Type | Physician Assistant |
| Business Address |
127 South Mill Drive South Glastonbury CT 06073 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-01-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 221572 | CSP.0028944 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-10-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 127 South Mill Drive |
| City | South Glastonbury |
| State | CT |
| Zip Code | 06073 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Betty Fucci | 127 South Mill Drive, South Glastonbury, CT 06073 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Belltown Hill Orchards LLC | 483 Matson Hill Rd, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Catherine L Cuva | 65 Backland Rd, South Glastonbury, CT 06073 | Speech and Language Pathologist | ~ |
| Nitu M Kashyap Md | 199 Old Maids Lane, South Glastonbury, CT 06073 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| L V Fuel Company LLC | 891 Main St, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Daniel W Babella | 55 Hopewell Heights, South Glastonbury, CT 06073 | Water Treatment Plant Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Anne T Rolfe | 8 High Ridge Road, Glastonbury, CT 06073 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Audrey C Mcfarlane-nelson · Mcfarlane | 81 Glastonbury Hunt Lane, S. Glastonbury, CT 06073 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alan J Dumaine | 391 Tryon Street, South Glastonbury, CT 06073 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Lottie's Country Kitchen · Carol Mulazzi Dba | 2187 New London Tnpk, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dondero Orchards LLC | 529 Woodland St, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06073 | |||
| City | South Glastonbury |
| Zip Code | 06073 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + South Glastonbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dzinski Polzella LLC | 415 Middlebury Rd, Middlebury, CT 06762 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Paul R Parkosewich | Po Box 409, Boonville, NY 13309 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
| Allison L Baysol | 3 Paul St # 1, Brunswick, ME 04011-2807 | Physician Assistant | 2015-12-02 ~ 2016-12-31 |
| Paul Nicolosi | 12 Grandview Ave, Old Lyme, CT 06371-1339 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Paul A Trapasso | 91 Vernon Dr., Scarsdale, NY 10583 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Paul Rolston Pa | 545 Orange St Apt #3, New Haven, CT 06511 | Physician Assistant | 2005-05-12 ~ 2006-03-31 |
| Paul M Vallera Pa-c | 40 Hillside Dr, Wrentham, MA 02093-1894 | Physician Assistant | 2014-05-01 ~ 2015-04-30 |
| Susan Paul | 5 Francine Ct, White Plains, NY 10607-1201 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Stephen Paul Welch | 14 Memory Ln, Waterford, CT 06385-1966 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Paul C Norton | 42 Tremont Street, Chicopee, MA 01013 | Physician Assistant | 2003-08-29 ~ 2004-08-31 |
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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).