MELISSA M LARIVIERE PA
Physician Assistant


Address: 39 Pervier Ave, Chicopee, MA 01020-4445

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 39 PERVIER AVE
City CHICOPEE
State MA
Zip Code 01020-4445

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Competitor

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City CHICOPEE
Zip Code 01020
License Type Physician Assistant
License Type + County Physician Assistant + CHICOPEE

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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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