JOSHUA A MICHAELMAN
Physician Assistant


Address: 1423 Quinnipiac Avenue Unit 612, New Haven, CT 06513

JOSHUA A MICHAELMAN (Credential# 743516) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 23, 2007. The license expiration date date is July 31, 2008. The license status is INACTIVE.

Business Overview

JOSHUA A MICHAELMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001767. The credential type is physician assistant. The effective date is May 23, 2007. The expiration date is July 31, 2008. The business address is 1423 Quinnipiac Avenue Unit 612, New Haven, CT 06513. The current status is inactive.

Basic Information

Licensee Name JOSHUA A MICHAELMAN
Credential ID 743516
Credential Number 23.001767
Credential Type Physician Assistant
Business Address 1423 Quinnipiac Avenue Unit 612
New Haven
CT 06513
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-05-03
Effective Date 2007-05-23
Expiration Date 2008-07-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
841263 70.001529 Emergency Medical Technician 2001-05-31 2003-04-02 - 2005-04-01 INACTIVE

Office Location

Street Address 1423 Quinnipiac Avenue Unit 612
City New Haven
State CT
Zip Code 06513

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City New Haven
Zip Code 06513
License Type Physician Assistant
License Type + County Physician Assistant + New Haven

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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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