AMANDA A CRUZ (Credential# 1122035) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 3, 2013. The license expiration date date is June 30, 2014. The license status is INACTIVE.
AMANDA A CRUZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002918. The credential type is physician assistant. The effective date is June 3, 2013. The expiration date is June 30, 2014. The business address is 9 Jamestown Cir, Wallingford, CT 06492-2138. The current status is inactive.
| Licensee Name | AMANDA A CRUZ |
| Credential ID | 1122035 |
| Credential Number | 23.002918 |
| Credential Type | Physician Assistant |
| Business Address |
9 Jamestown Cir Wallingford CT 06492-2138 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-06-03 |
| Effective Date | 2013-06-03 |
| Expiration Date | 2014-06-30 |
| Refresh Date | 2014-10-10 |
| Street Address | 9 JAMESTOWN CIR |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2138 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison E Sprafke | 51 Jamestown Cir, Wallingford, CT 06492-2138 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Stephen Dombroski | 25 Jamestown Cir, Wallingford, CT 06492-2138 | Wholesaler Salesman | 2017-02-01 ~ 2019-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yvette L Cruz Pa | 1371 Lancelot Way, Casselberry, FL 32707 | Physician Assistant | 2007-12-21 ~ 2008-12-31 |
| Andrew M Cruz | 3354 83rd St Apt E31, Jackson Heights, NY 11372-1480 | Physician Assistant | ~ |
| Annette I Cruz Pa-c | 604 Galera Ln, Mount Pleasant, SC 29464-8318 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Amanda L Orszulak | 90 Greenacre Ave, Longmeadow, MA 01106-1906 | Physician Assistant | 2012-08-06 ~ 2013-05-31 |
| Amanda J Cullen Pa-c | 38 Zacks Way, Agawam, MA 01001-3246 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Amanda G Madkour | 51-53 Kenosia Ave, Danbury, CT 06810-2304 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Amanda F Votto Pa-c | 283 S Main St, Wallingford, CT 06492-4602 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Emily Amanda Durocher | 173 Rochela Dr, Southington, CT 06489-4671 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Amanda J Mccabe | 189 Cornwall Hill Rd, Patterson, NY 12563-2551 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Amanda Nesis | 214 Farms Road, Brewster, NY 10509 | Physician Assistant | 2003-03-17 ~ 2004-05-31 |
Please comment or provide details below to improve the information on AMANDA A CRUZ.
| 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).