RYAN MARINGOLA (Credential# 743718) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
RYAN MARINGOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001969. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 6 Fieldstone Cmns Ste D, Tolland, CT 06084-3419. The current status is active.
Licensee Name | RYAN MARINGOLA |
Credential ID | 743718 |
Credential Number | 23.001969 |
Credential Type | Physician Assistant |
Business Address |
6 Fieldstone Cmns Ste D Tolland CT 06084-3419 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2007-09-14 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
485749 | CSP.0042759 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
843403 | 70.003670 | Emergency Medical Technician | 2003-06-18 | 2003-06-18 - 2005-03-31 | INACTIVE |
Street Address | 6 FIELDSTONE CMNS STE D |
City | TOLLAND |
State | CT |
Zip Code | 06084-3419 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06084 |
City | TOLLAND |
Zip Code | 06084 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + TOLLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lucas Ryan Pa | 37 Red Mills Rd, Mahopac, NY 10541 | Physician Assistant | 2004-08-23 ~ 2005-10-31 |
James J Ryan | P.o. Box 525, Pine Plains, NY 12567 | Physician Assistant | 2003-03-03 ~ 2004-02-29 |
Emily Ryan | 15 Sandra Dr, Branford, CT 06405-6137 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Ryan F Makuck Pa-c | 37 Pinnacle Rd, Ellington, CT 06029-3513 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Ryan C Davis | 111 Woodland Drive, Cromwell, CT 06416 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Ryan A Vicino | 480 Maple Hill Ave, Newington, CT 06111-3618 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Kevin F Ryan | 12 Walker Road, Ware, MA 01082 | Physician Assistant | 1997-08-22 ~ 1998-09-30 |
Ryan K Gunther | 140 Mill St, East Haven, CT 06512-1041 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
Ryan M O'gowan Pa-c | 18 White Ave, East Longmeadow, MA 01028-2432 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
Ryan Riordan | 23 S Jefferson St, Batavia, IL 60510-2419 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
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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).