MICHAEL M PANCIERA (Credential# 1304547) 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.
MICHAEL M PANCIERA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003456. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1301 N River Rd, Coventry, CT 06238-1261. The current status is active.
| Licensee Name | MICHAEL M PANCIERA |
| Credential ID | 1304547 |
| Credential Number | 23.003456 |
| Credential Type | Physician Assistant |
| Business Address |
1301 N River Rd Coventry CT 06238-1261 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-09 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1316023 | CSP.0061607 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-10-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 880623 | 72.002416 | Paramedic | 2009-01-28 | 2019-04-01 - 2020-03-31 | ACTIVE IN RENEWAL |
| 846872 | 70.007139 | Emergency Medical Technician | 2006-04-25 | 2008-03-20 - 2010-01-01 | INACTIVE |
| Street Address | 1301 N RIVER RD |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-1261 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine N. Van Deveire | 1301 N River Rd, Coventry, CT 06238-1261 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helen D Failla | 1461 N River Rd, Coventry, CT 06238-1261 | Community Association Manager | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John V Panciera | P O Box 220, Somers, CT 06071 | Home Improvement Contractor | ~ 1995-12-01 |
| Amy L Panciera | 90 Panciera Lane, Hopkinton, RI 02833 | Notary Public Appointment | 2003-12-31 ~ 2008-12-31 |
| Heidi P Panciera | 111 Panciera Ln, Bradford, RI 02808-1711 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Terry B Panciera · Terry B Panciera Remdling Cont | 144 Old Monson Rd, Stafford Springs, CT 06076 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Peter Panciera · Peter Panciera Builder Contractor | 49 Upper Rd, Stafford Springs, CT 06076-3812 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Panciera Construction | 96 Pond Hill Rd # B, North Haven, CT 06473-2831 | Home Improvement Contractor | 2013-12-01 ~ 2014-11-30 |
| Louis Panciera Inc | 48 Main St, Westerly, RI 02891-2113 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Peter Panciera Building Cntrctr Inc | Po Box 194, Stafford, CT 06075 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
| Michael J Panciera | 1005 Misty Meadow Lane, South Windsor, CT 06074 | Notary Public Appointment | 1988-04-29 ~ 1993-03-31 |
| Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MICHAEL M PANCIERA.
| 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).