GINA F LIDESTRI PA (Credential# 743691) 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.
GINA F LIDESTRI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001942. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 Dominique Ln, Simsbury, CT 06070-1623. The current status is active.
| Licensee Name | GINA F LIDESTRI PA |
| Credential ID | 743691 |
| Credential Number | 23.001942 |
| Credential Type | Physician Assistant |
| Business Address |
4 Dominique Ln Simsbury CT 06070-1623 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-08-03 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 482149 | CSP.0042589 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 DOMINIQUE LN |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070-1623 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher B Lidestri · Lidestri Building & Remodeling | 216 Ocean Ave, New London, CT 06320 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Kelsey Goode | 23 Gina Ln, Marlborough, CT 06447-1257 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Gina M Givogre Pa | 191 Eleven O Clock Rd, Fairfield, CT 06824-1728 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Gina K Porto | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lidestri Pink Limoncello | Ct Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-08-20 ~ 2020-08-18 |
| Lidestri Pink Lemon Liqueur | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2020-07-13 ~ 2023-07-11 |
| Gina R Marshall | 331 N Society Rd, Canterbury, CT 06331-1240 | Physical Therapist Assistant | 2017-02-01 ~ 2018-01-31 |
| Gina Bergdall | 18 Sheridan Dr, Pawling, NY 12564-1031 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Gina M Cote | 46 Amiee Drive, Pawcatuck, CT 06379 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on GINA F LIDESTRI 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).