MARISSA J FISTOLA PA-C (Credential# 743675) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARISSA J FISTOLA PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001926. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 40 Edgewood St, Stafford Springs, CT 06076. The current status is active.
| Licensee Name | MARISSA J FISTOLA PA-C |
| Credential ID | 743675 |
| Credential Number | 23.001926 |
| Credential Type | Physician Assistant |
| Business Address |
40 Edgewood St Stafford Springs CT 06076 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-07-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 481466 | CSP.0042563 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 40 Edgewood St |
| City | Stafford Springs |
| State | CT |
| Zip Code | 06076 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacia M Yarrows | 105 Tolland Ave, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Ct Canine Solutions | 403 Bigelow Hollow Rd, Union, CT 06076 | Training Facility | 2020-06-23 ~ 2021-12-31 |
| Jill A Bower | 134 W Stafford Road, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Marcia B Lombardo | 53 A East Main Street, Stafford Springs, CT 06076 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Linsley S Mordasky | 40 Dunay Road, Stafford Springs, CT 06076 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy L Kapplan · Zembko | 2 Webster Road, Union, CT 06076 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daves Soda and Pet City | 97-cw Stafford Rd, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Connecticut Ready Mix LLC | 10 Meadow Ln 7 Yard Plant, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Stafford Springs Enterprises | 55 West St, Stafford Springs, CT 06076 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Melissa J Lewis | 357 Monson Road, Stafford Springs, CT 06076 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06076 | |||
| City | Stafford Springs |
| Zip Code | 06076 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Stafford Springs |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marissa F Forte | 10 Topaz Ct, New City, NY 10956-7030 | Physician Assistant | 2017-12-01 ~ 2018-11-30 |
| Marissa Jacko | 101 Hillcrest Ave, Stratford, CT 06614-3514 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Marissa B Migdol Pa | 83 Newfield Ave Apt 27, Waterbury, CT 06708 | Physician Assistant | 2004-06-16 ~ 2005-03-31 |
| Marissa C Carignan | 41 Niantic River Rd, Waterford, CT 06385-2529 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Carlye Marissa Bianco | 10 Wells Ave, Stamford, CT 06902-7619 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Marissa Ann Sylvester | 702 Pleasant Valley Road North, Groton, CT 06340 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Marissa A Roy | 741 Mountain Rd, Suffield, CT 06078-2011 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
| Marissa Morales | 16 Murray Ave Apt 4, Westfield, MA 01085-1583 | Physical Therapist Assistant | 2017-01-01 ~ 2017-12-31 |
| Marissa Esposito | 17 Minor Rd, East Haven, CT 06512-4511 | Family Child Care Assistant | 2015-03-13 ~ 2017-03-31 |
| Danielle Marissa Delucco | 600 Cypress Rd, Newington, CT 06111-5610 | Family Child Care Assistant | 2018-04-23 ~ 2020-04-30 |
Please comment or provide details below to improve the information on MARISSA J FISTOLA PA-C.
| 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).