MELISSA MIESZCZANSKI PA (Credential# 743578) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MELISSA MIESZCZANSKI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001829. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 17 Basking Ridge Rd, Shelton, CT 06484. The current status is active.
| Licensee Name | MELISSA MIESZCZANSKI PA |
| Credential ID | 743578 |
| Credential Number | 23.001829 |
| Credential Type | Physician Assistant |
| Business Address |
17 Basking Ridge Rd Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-09-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 452468 | CSP.0040744 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 842239 | 70.002505 | Emergency Medical Technician | 2002-06-04 | 2006-09-26 - 2008-06-30 | INACTIVE |
| 315400 | PTN.0005113 | PHARMACY TECHNICIAN | 2006-04-01 - 2007-03-31 | INACTIVE |
| Street Address | 17 Basking Ridge Rd |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Lemiech | P. O. Box 142, Somers, CT 06071 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Melissa M Lariviere Pa | 39 Pervier Ave, Chicopee, MA 01020-4445 | Physician Assistant | 2010-09-27 ~ 2011-07-31 |
| Melissa Acquaviva D'amato | 44 Cheltenham Way, Avon, CT 06001 | Physician Assistant | ~ |
| Melissa Pelton | 89 Mohawk St, Stratford, CT 06614 | Physician Assistant | 2008-03-21 ~ 2009-05-31 |
| 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 L Marion Pa | 64 Robbins St, Waterbury, CT 06708-2613 | Physician Assistant | 2005-10-04 ~ 2006-07-31 |
| Melissa Hawkins Chaplik | 9 Rimmon Rd, Woodbridge, CT 06525 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Melissa G Fairbairn | 28 Russett Rd, Sandy Hook, CT 06482-1455 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Melissa A Perregaux | 220 Fairview Road, Westbrook, CT 06498 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MELISSA MIESZCZANSKI 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).