AMANDA J MAKI PA-C (Credential# 971476) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
AMANDA J MAKI PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049177. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 19 Davis Ave # A, Vernon, CT 06066-3101. The current status is inactive.
| Licensee Name | AMANDA J MAKI PA-C |
| Credential ID | 971476 |
| Credential Number | CSP.0049177 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
19 Davis Ave # A Vernon CT 06066-3101 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-10-22 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 951427 | 23.002498 | Physician Assistant | 2010-10-04 | 2015-04-01 - 2016-03-31 | INACTIVE |
| 971474 | CSM.0000323 | MANUFACTURER OF DRUGS, COSMETICS & MEDICAL DEVICES | - | PENDING |
| Street Address | 19 DAVIS AVE # A |
| City | VERNON |
| State | CT |
| Zip Code | 06066-3101 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lloyd E Nicholas | 57 Davis Ave, Rockville, CT 06066-3101 | Home Improvement Salesperson | 2009-12-01 ~ 2010-11-30 |
| Linda J Pease | 53 Davis Ave, Vernon, CT 06066-3101 | Emergency Medical Technician | 2011-04-02 ~ 2014-04-01 |
| Sarah E Browning | 69 Davis Ave, Vernon, CT 06066-3101 | Pharmacy Technician | 2013-04-01 ~ 2014-03-31 |
| Robert E Browning | 69 Davis Ave, Vernon Rockville, CT 06066-3101 | Emergency Medical Technician | 2009-02-27 ~ 2010-10-01 |
| Lloyd E Nicholas · Nicholas & Son Inc | 57 Davis Ave, Rockville, CT 06066-3101 | Home Improvement Contractor | 1996-04-03 ~ 1996-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
| Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
| Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06066 | |||
| City | VERNON |
| Zip Code | 06066 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VERNON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maki S Jerden Aprn | 25 Middlebury St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2007-02-15 ~ 2008-02-29 |
| Amanda N Rea | 195 Broadmere Rd, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda H Uva | 6 Chiltern St, Farmington, CT 06032-1533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Amanda Shreders | 772 Westover Rd, Stamford, CT 06902-1329 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Amanda M Hill | 55 Lafayette St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amanda R Cook | 28 Augusta Dr, Milford, CT 06461-1683 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Holmes | 475 Bank St, Waterbury, CT 06708-3501 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amanda S Bahler | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda L Wilmot | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-20 ~ 2017-02-28 |
Please comment or provide details below to improve the information on AMANDA J MAKI 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).