MICHELLE K MCRUIZ
Physician Assistant


Address: 122 Overton Farm Rd, Southbury, CT 06488-2400

MICHELLE K MCRUIZ (Credential# 900135) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2017. The license expiration date date is December 31, 2017. The license status is INACTIVE.

Business Overview

MICHELLE K MCRUIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002357. The credential type is physician assistant. The effective date is January 1, 2017. The expiration date is December 31, 2017. The business address is 122 Overton Farm Rd, Southbury, CT 06488-2400. The current status is inactive.

Basic Information

Licensee Name MICHELLE K MCRUIZ
Credential ID 900135
Credential Number 23.002357
Credential Type Physician Assistant
Business Address 122 Overton Farm Rd
Southbury
CT 06488-2400
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-12-01
Effective Date 2017-01-01
Expiration Date 2017-12-31
Refresh Date 2018-04-05

Other licenses

ID Credential Code Credential Type Issue Term Status
909698 CSP.0047114 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-01-12 2015-03-01 - 2017-02-28 INACTIVE
287484 PTN.0004494 PHARMACY TECHNICIAN 2002-04-01 - 2003-03-31 INACTIVE

Office Location

Street Address 122 OVERTON FARM RD
City SOUTHBURY
State CT
Zip Code 06488-2400

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Joseph Tyler Mcruiz 122 Overton Farm Rd, Southbury, CT 06488-2400 Physician/surgeon 2020-06-01 ~ 2021-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jillian Jung 582 Patriot Rd, Southbury, CT 06488 Radiographer 2020-08-01 ~ 2021-07-31
Mary E Kohler 201 Old Highway, Southbury, CT 06488 Registered Nurse 2020-09-01 ~ 2021-08-31
Theresa K Bobak 266b Heritage Village, Southbury, CT 06488 Registered Nurse 2020-08-01 ~ 2021-07-31
Kelly Watson 800 Main Street South Suite 102, Southbury, CT 06488 Medication Administration Certification 2018-06-27 ~ 2020-06-26
Mcdonald's Rest #2104 44 Division St, Derby, CT 06488 Bakery 2020-07-01 ~ 2021-06-30
Shirley A Frager 5 West View Rd, Southbury, CT 06488 Registered Nurse 2020-07-01 ~ 2021-06-30
Maureen K Boyd 77 Shane Drive, Southbury, CT 06488 Physical Therapist 2020-09-01 ~ 2021-08-31
South Britain Oil LLC 424 Old Field Rd, Southbury, CT 06488 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Won Ju Lee 995 Old Field Rd, Southbury, CT 06488 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2022-01-31
Mcdonald's Rest #27001 652 New Haven Ave, Derby, CT 06488 Bakery 2020-07-01 ~ 2021-06-30
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Competitor

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City SOUTHBURY
Zip Code 06488
License Type Physician Assistant
License Type + County Physician Assistant + SOUTHBURY

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Joseph Tyler Mcruiz 122 Overton Farm Rd, Southbury, CT 06488-2400 Physician/surgeon 2020-06-01 ~ 2021-05-31
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Michelle L Vogan Pa 40 Prospect Ave Apt 1, Norwalk, CT 06850-3737 Physician Assistant 2008-10-28 ~ 2009-10-31
Michelle Canning Pa 9 Common Dr, W Hartford, CT 06107 Physician Assistant 2004-10-25 ~ 2005-11-30
Michelle Chiriani 66 Westlake Dr, Thornwood, NY 10594 Physician Assistant 2020-05-01 ~ 2021-04-30
Michelle L Dawiczyk 507 Cat Tail Ln, Manchester, CT 06042-7103 Physician Assistant 2014-04-01 ~ 2015-03-31
Michelle L Sabsels 509 E 12th St Apt 2c, New York, NY 10009-3891 Physician Assistant 2005-09-01 ~ 2006-09-30
Michelle M James 222 E 19th St, New York, NY 10003 Physician Assistant 2015-02-01 ~ 2016-01-31
Michelle Ana Figueroa 26 Christopher Ter, West Springfield, MA 01089-4523 Physician Assistant ~
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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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