MEGAN M CIOCCA PA
Physician Assistant


Address: 432 Edison Rd, Trumbull, CT 06611

MEGAN M CIOCCA PA (Credential# 742881) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2004. The license expiration date date is June 30, 2005. The license status is INACTIVE.

Business Overview

MEGAN M CIOCCA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001132. The credential type is physician assistant. The effective date is June 16, 2004. The expiration date is June 30, 2005. The business address is 432 Edison Rd, Trumbull, CT 06611. The current status is inactive.

Basic Information

Licensee Name MEGAN M CIOCCA PA
Credential ID 742881
Credential Number 23.001132
Credential Type Physician Assistant
Business Address 432 Edison Rd
Trumbull
CT 06611
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-11-08
Effective Date 2004-06-16
Expiration Date 2005-06-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
291002 CSP.0031625 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 432 EDISON RD
City TRUMBULL
State CT
Zip Code 06611

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Xuehuan Zhang 31 Asbury Rd, Trumbull, CT 06611 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Antoinette D Senior 38 Tanager Lane, Trumbull, CT 06611 Registered Nurse 2020-07-01 ~ 2021-06-30
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Gary T Sorge 63 Limerick Road, Trumbull, CT 06611 Landscape Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City TRUMBULL
Zip Code 06611
License Type Physician Assistant
License Type + County Physician Assistant + TRUMBULL

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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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