DAREENA D MIRROW (Credential# 1050651) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2015. The license expiration date date is August 31, 2016. The license status is PENDING.
DAREENA D MIRROW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002788. The credential type is physician assistant. The effective date is September 1, 2015. The expiration date is August 31, 2016. The business address is Po Box 101, Wynantskill, NY 12198-0101. The current status is pending.
Licensee Name | DAREENA D MIRROW |
Credential ID | 1050651 |
Credential Number | 23.002788 |
Credential Type | Physician Assistant |
Business Address |
Po Box 101 Wynantskill NY 12198-0101 |
Business Type | INDIVIDUAL |
Status | PENDING - REINSTATEMENT APPLICATION PENDING |
Issue Date | 2012-08-01 |
Effective Date | 2015-09-01 |
Expiration Date | 2016-08-31 |
Refresh Date | 2017-08-18 |
Street Address | PO BOX 101 |
City | WYNANTSKILL |
State | NY |
Zip Code | 12198-0101 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa M Barber | 31 Greenwood Road, Wynantskill, NY 12198 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mark X Riordan | 3948 Ny Rte 43, Wynantskill, NY 12198 | Professional Engineer | 2020-03-03 ~ 2021-01-31 |
David E Dickinson | 250 Edwards Rd, Wynantskill, NY 12198 | Land Surveyor | 2019-02-01 ~ 2020-01-31 |
Kimberly J Wright | 6 Tansey Court, Wynantskill, NY 12198 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Alfonse M Marello | 1 Gallant Fox La, Wynantskill, NY 12198 | Electrical Unlimited Journeyperson | 2012-10-01 ~ 2013-09-30 |
Cathia K. Mouawad | 21 Woodside Court, Wynantskill, NY 12198 | Certified Public Accountant License | 2013-01-01 ~ 2013-12-31 |
Christina M Crucetti | 102 Woodbury Hill Rd, Wynantskill, NY 12198 | Registered Nurse | 2012-01-01 ~ 2012-12-31 |
Melissa V Riggs · Frazier | 26 Franklin Ave, Wynantskill, NY 12198 | Registered Nurse | 2011-12-01 ~ 2012-11-30 |
Linda T Esposito | 31 Furry Road, Wynantskill, NY 12198 | Registered Nurse | 2011-11-01 ~ 2012-10-31 |
Pagona Papageorgiou | 3948 Ny Route 43, Wynantskill, NY 12198 | Professional Engineer | ~ |
Find all Licenses in zip 12198 |
City | WYNANTSKILL |
Zip Code | 12198 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WYNANTSKILL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
Stacey Rydzewska | 421 S End Rd, Plantsville, CT 06479 | Physician Assistant | ~ |
L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
Justin S Boyarsky | 560 1st Ave, New York, NY 10016-6402 | Physician Assistant | ~ |
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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).