MICHAELA M PETRINI (Credential# 742866) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MICHAELA M PETRINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001117. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 17 Country Way, Bethel, CT 06801-2935. The current status is active.
| Licensee Name | MICHAELA M PETRINI |
| Credential ID | 742866 |
| Credential Number | 23.001117 |
| Credential Type | Physician Assistant |
| Business Address |
17 Country Way Bethel CT 06801-2935 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-10-30 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 292080 | CSP.0031607 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 | 2005-03-01 - 2006-02-28 | INACTIVE |
| 872034 | 70.980121 | Emergency Medical Technician | 1997-12-22 | - 2000-01-01 | INACTIVE |
| Street Address | 17 COUNTRY WAY |
| City | BETHEL |
| State | CT |
| Zip Code | 06801-2935 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Anthony Dulko | 6 Winthrop Road, Bethel, CT 06801 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Antonietta Sproviero-metaxas | 36 Quaker Ridge Road, Bethel, CT 06801 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark K Roos | 6 Crestview Road, Bethel, CT 06801 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Susan Nguyen | 14b Cawley Ave., Bethel, CT 06801 | Esthetician | ~ |
| Blue Jay Orchards | 125 Plumtrees Rd, Bethel, CT 06801 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Varano Bakery | 198 Greenwood Ave, Bethel, CT 06801 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nina M Kilcourse | 3 Bayberry Hill Rd, Bethel, CT 06801 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ralph Ramsdell · Big Y | 83 Stony Hill Road, Bethel, CT 06801 | Grocery Beer | 2020-04-18 ~ 2021-04-17 |
| Marilu F Jeton | 36 Weed Rd, Bethel, CT 06801 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Petagay V Hewitt | 44 Greenwood Avenue, Bethel, CT 06801 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06801 | |||
| City | BETHEL |
| Zip Code | 06801 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BETHEL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michaela Anne Paduch | 188 Injun Hollow Rd, Haddam Neck, CT 06424-3022 | Physician Assistant | ~ |
| Karin C Petrini · Robert J Petrini | 22 Conant Rd, Ridgefield, CT 06877 | Real Estate Salesperson | 1999-06-01 ~ 2000-05-31 |
| Monika Michaela Prost | 3305 Crawford Street, Columbia, MO 65203 | Physician/surgeon | 2019-11-04 ~ 2020-07-31 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Nicholas D. Petrini | 3 Ohehyahtah Pl, Danbury, CT 06810-7668 | Chiropractor | 2013-08-01 ~ 2014-07-31 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Eunice L Petrini | 93 Oswegatchie Rd, Waterford, CT 06385 | Registered Nurse | 2010-03-01 ~ 2011-02-28 |
| Kristina A. Petrini | 37 Jeffrey Dr, Wallingford, CT 06492-2540 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Arthur D Petrini | 55 Sander St, New London, CT 06320 | Professional Engineer | 1995-01-18 ~ 1996-01-31 |
Please comment or provide details below to improve the information on MICHAELA M PETRINI.
| 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).