DAREENA D MIRROW
Physician Assistant


Address: Po Box 101, Wynantskill, NY 12198-0101

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address PO BOX 101
City WYNANTSKILL
State NY
Zip Code 12198-0101

Licenses in the same zip code

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

Competitor

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City WYNANTSKILL
Zip Code 12198
License Type Physician Assistant
License Type + County Physician Assistant + WYNANTSKILL

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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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