MICHAEL N LUBERTI PA (Credential# 743352) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MICHAEL N LUBERTI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001603. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 18 Inwood Rd., Woodbridge, CT 06525. The current status is active.
Licensee Name | MICHAEL N LUBERTI PA |
Credential ID | 743352 |
Credential Number | 23.001603 |
Credential Type | Physician Assistant |
Business Address |
18 Inwood Rd. Woodbridge CT 06525 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-03-07 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
399443 | CSP.0037192 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 18 Inwood Rd. |
City | Woodbridge |
State | CT |
Zip Code | 06525 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
Find all Licenses in zip 06525 |
City | Woodbridge |
Zip Code | 06525 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Woodbridge |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Michael Leonard Rubalsky | 76 Harold Dr, Newington, CT 06111-4220 | Physician Assistant | ~ |
Michael G Chase | 399 Main Ave, Norwalk, CT 06851 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Michael F Iozzo Pa | 17 Crane Rd, Ellington, CT 06029-2004 | Physician Assistant | 2010-09-01 ~ 2011-08-31 |
Michael R Ellwood | 12784 Fox Keep Run, Fairfax, VA 22033-2233 | Physician Assistant | 2014-05-01 ~ 2015-04-30 |
Michael K Sullivan | 17 Sayles Ave, Lincoln, RI 02865-2133 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Michael F Lachowicz | 27 Old Farms Rd, Cheshire, CT 06410-3757 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Michael J Hann | 295 E Village Rd, Monroe, CT 06468-3000 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Michael W Callahan | 98 Bay Road, Hadley, MA 01035-9688 | Physician Assistant | 2005-04-11 ~ 2006-05-31 |
Michael B Heilbrunn Pa | 80 Phyfe Rd, Fairfield, CT 06824 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).