AMANDA P SIMINERIO (Credential# 1188396) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is APPROVED.
AMANDA P SIMINERIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003013. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 47 Arbor Xing, East Lyme, CT 06333-1170. The current status is approved.
| Licensee Name | AMANDA P SIMINERIO |
| Credential ID | 1188396 |
| Credential Number | 23.003013 |
| Credential Type | Physician Assistant |
| Business Address |
47 Arbor Xing East Lyme CT 06333-1170 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-23 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1193434 | CSP.0056387 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-11-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 47 ARBOR XING |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1170 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Moschella | 47 Arbor Xing, East Lyme, CT 06333-1170 | Athletic Trainer | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Asim Ejaz | 63 Arbor Xing, East Lyme, CT 06333-1170 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer G Newton | 53 Arbor Xing, East Lyme, CT 06333-1170 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Christine L Glasz | 45 Arbor Xing, East Lyme, CT 06333-1170 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| David L Dmowski | 91 Arbor Xing, East Lyme, CT 06333-1170 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Michael Diloreto | 85 Arbor Xing, East Lyme, CT 06333-1170 | Home Improvement Salesperson | 2019-11-13 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 A Cruz | 9 Jamestown Cir, Wallingford, CT 06492-2138 | Physician Assistant | 2013-06-03 ~ 2014-06-30 |
| Amanda F Votto Pa-c | 283 S Main St, Wallingford, CT 06492-4602 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Amanda Denny | 18 Shawondassee Drive, Stonington, CT 06378 | Physician Assistant | 2018-11-01 ~ 2019-11-30 |
| Emily Amanda Durocher | 173 Rochela Dr, Southington, CT 06489-4671 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Amanda Linn Paradiso | 90 Weathervane Dr, New Milford, CT 06776 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Amanda Mauck | 241 Erin Drive, Cranberry Township, PA 16066 | Physician Assistant | ~ |
| Amanda J Mccabe | 189 Cornwall Hill Rd, Patterson, NY 12563-2551 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on AMANDA P SIMINERIO.
| 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).