ELLEN GINGERELLA (Credential# 1255408) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ELLEN GINGERELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003249. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1 Pequot Ave, Mystic, CT 06355-2421. The current status is active.
| Licensee Name | ELLEN GINGERELLA |
| Credential ID | 1255408 |
| Credential Number | 23.003249 |
| Credential Type | Physician Assistant |
| Business Address |
1 Pequot Ave Mystic CT 06355-2421 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-11-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1256961 | CSP.0059084 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-12-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1 PEQUOT AVE |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-2421 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen R Seitelman | P.o. Box 347, Albion, RI 02802 | Physician Assistant | 2008-07-28 ~ 2009-07-31 |
| Ellen Beth | 136 Old Chester Rd, Haddam, CT 06438 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Ellen Debra Matteson | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician Assistant | ~ |
| Ellen D Matteson · Apfelbaum | 8 Coach Ln, Westport, CT 06880-2107 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lou-ellen Macdonald | 275 Cross Street, Norwell, MA 02061 | Physician Assistant | 2005-01-24 ~ 2005-12-31 |
| Rachel Ellen Silvester | 143 Wetherell St Unit 1, Manchester, CT 06040-6406 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Ellen E Shatzkin | 53 Beverly Road, White Plains, NY 10605 | Physician Assistant | 2018-03-01 ~ 2019-02-28 |
| Mary Ellen Osenton · Dalzell | 36 Guyer Road, Westport, CT 06880 | Physician Assistant | 1997-04-16 ~ 1998-05-31 |
| 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 |
Please comment or provide details below to improve the information on ELLEN GINGERELLA.
| 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).