ANNE M D'AMICO PA (Credential# 743340) 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.
ANNE M D'AMICO PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001591. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 Renee Court, Mahopac, NY 10541. The current status is active.
| Licensee Name | ANNE M D'AMICO PA |
| Credential ID | 743340 |
| Credential Number | 23.001591 |
| Credential Type | Physician Assistant |
| Business Address |
4 Renee Court Mahopac NY 10541 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-01-21 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 393135 | CSP.0036906 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-02-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 RENEE COURT |
| City | MAHOPAC |
| State | NY |
| Zip Code | 10541 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernestine Daniel | 21 Mianna Drive, Mahopac, NY 10541 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Thomas A Nugent | 79 Austin Rd, Mahopac, NY 10541 | Architect | 2020-08-01 ~ 2021-07-31 |
| Vasiliki Gleason | 7 Senior Avenue, Mahopac, NY 10541 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joel Greenberg | 2 Muscoot Rd N, Mahopac, NY 10541 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stacy Shires | 7 Rambler Rd, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Henry Samoyedny | 54 Mcmillan Ave, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joseph D Mastromonaco Jr | 10 Rockledge Place, Mahopac, NY 10541 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| James B Polo | 43 Dahlia Dr, Mahopac, NY 10541 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jill E Branch | 166 Croton Falls Rd, Mahopac, NY 10541 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Richard J Castro | 803 So Lake Blv D, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10541 | |||
| City | MAHOPAC |
| Zip Code | 10541 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MAHOPAC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Anne Mcdonald | 1 Primrose Ln Apt 2k, Fords, NJ 08863-1192 | Physician Assistant | ~ |
| Anne M Keck Pa-c | 5 Wildwood Rd, Vernon, CT 06066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Robert J D'amico · R D'amico Builders | 50 Chittenden Rd, Killingworth, CT 06419 | Home Improvement Contractor | 2000-12-04 ~ 2001-11-30 |
| Megan Anne Salm Pa | 92 Bartlett Dr, Madison, CT 06443 | Physician Assistant | 2007-06-22 ~ 2008-08-31 |
| Anne Marie Legrand | 24 Beaver Dam Way, Dennis, MA 02660 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Stacy Anne Henderson Pa | 41 Germantown Rd Ste 101, Danbury, CT 06810-4087 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Anne J Thomson | 71 Interlaken Road, Stamford, CT 06903 | Physician Assistant | 1999-12-08 ~ 2000-12-31 |
| Anne C Kadlubowski | 85 Seymour Street, Hartford, CT 06106 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laura Anne Malone-scott | 91 Surrey Ln, Guilford, CT 06437-1953 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Anne Elizabeth Carlson | 47 Sunset Lake Rd, Warren, CT 06754-1701 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on ANNE M D'AMICO PA.
| 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).