MELISSA M LARIVIERE PA (Credential# 743543) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 27, 2010. The license expiration date date is July 31, 2011. The license status is INACTIVE.
MELISSA M LARIVIERE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001794. The credential type is physician assistant. The effective date is September 27, 2010. The expiration date is July 31, 2011. The business address is 39 Pervier Ave, Chicopee, MA 01020-4445. The current status is inactive.
Licensee Name | MELISSA M LARIVIERE PA |
Credential ID | 743543 |
Credential Number | 23.001794 |
Credential Type | Physician Assistant |
Business Address |
39 Pervier Ave Chicopee MA 01020-4445 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2006-07-26 |
Effective Date | 2010-09-27 |
Expiration Date | 2011-07-31 |
Refresh Date | 2014-07-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
974857 | CSP.0049326 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-17 | 2010-11-17 - 2011-02-28 | INACTIVE |
Street Address | 39 PERVIER AVE |
City | CHICOPEE |
State | MA |
Zip Code | 01020-4445 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephanie Marie Melao-nogueira | 82 Frink St, Chicopee, MA 01020 | Esthetician | ~ |
Jill E Remillard | 129 Longwood Drive, Chicopee, MA 01020 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Alia Helena Perez | 79 Oakridge St, Chicopee, MA 01020 | Esthetician | ~ |
Michelle Bressette | 26 Edbert Street, Chicopee, MA 01020 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Donna M Rowe-scott | 126 Labelle Dr, Chicopee, MA 01020 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kim Pt Pham | 69 Kaveney Street, Chicopee, MA 01020 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Theresa L Williams | 142 Casey Drive, Chicopee, MA 01020 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Kaylie E. Dygon | 92 Oakwood Street, Chicopee, MA 01020 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Tech Roofing Service Inc | 896 Sheridan Street, Chicopee, MA 01020 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Dawn S Cantin | 241 College Street, Chicopee, MA 01020 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 01020 |
City | CHICOPEE |
Zip Code | 01020 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + CHICOPEE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew V Lariviere · Lariviere Construction | 24 Hobart St, Westerly, RI 02891 | Home Improvement Contractor | 2001-01-09 ~ 2001-11-30 |
Jasson Lariviere · Lariviere Drywall | 18 Callahan Ln, East Hartford, CT 06118 | Home Improvement Contractor | 1999-11-29 ~ 2000-11-30 |
Melissa Lemiech | P. O. Box 142, Somers, CT 06071 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Melissa Smirnow | 205 10th St, Jersey City, NJ 07302 | Physician Assistant | ~ |
Deanna M Locurto | 18 Melissa Ln, Prospect, CT 06712-1462 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Melissa Acquaviva D'amato | 44 Cheltenham Way, Avon, CT 06001 | Physician Assistant | ~ |
Melissa L Marion Pa | 64 Robbins St, Waterbury, CT 06708-2613 | Physician Assistant | 2005-10-04 ~ 2006-07-31 |
Melissa Pelton | 89 Mohawk St, Stratford, CT 06614 | Physician Assistant | 2008-03-21 ~ 2009-05-31 |
Melissa Hawkins Chaplik | 9 Rimmon Rd, Woodbridge, CT 06525 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Melissa A Perregaux | 220 Fairview Road, Westbrook, CT 06498 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).