MARISSA F FORTE (Credential# 1313932) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.
MARISSA F FORTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003558. The credential type is physician assistant. The effective date is December 1, 2017. The expiration date is November 30, 2018. The business address is 10 Topaz Ct, New City, NY 10956-7030. The current status is inactive.
Licensee Name | MARISSA F FORTE |
Credential ID | 1313932 |
Credential Number | 23.003558 |
Credential Type | Physician Assistant |
Business Address |
10 Topaz Ct New City NY 10956-7030 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2016-04-18 |
Effective Date | 2017-12-01 |
Expiration Date | 2018-11-30 |
Refresh Date | 2019-03-05 |
Street Address | 10 TOPAZ CT |
City | NEW CITY |
State | NY |
Zip Code | 10956-7030 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Todd Rosenblum | 200 East Eckerson Road, New City, NY 10956 | Architect | 2020-08-01 ~ 2021-07-31 |
Katherine Dalton | 4 Banta Place, New City, NY 10956 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Christiana I Famodimu | 12 Woodhaven Drive, New City, NY 10956 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Anthony F Lando | 5 Harvest Road, New City, NY 10956 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Inga Shabalina | 43 Long Meadow Drive, New City, NY 10956 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Martha A Ellis · Was Martha E. Gitlitz | 28 Woodglen Drive, New City, NY 10956 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Lucy Villa | 5 Prides Crossing, New City, NY 10956 | Dentist | 2020-03-01 ~ 2021-02-28 |
Perry Evan Schattman | 2 Glenmere Rd, New City, NY 10956 | Emergency Medical Technician | ~ |
Marcia Marijas | 6 Dolphin Rd, New City, NY 10956 | Medication Administration Certification | ~ |
On Time Remodeling Corp | 24 Lyncrest Ave, New City, NY 10956 | Home Improvement Contractor | 2020-03-20 ~ 2020-11-30 |
Find all Licenses in zip 10956 |
City | NEW CITY |
Zip Code | 10956 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + NEW CITY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carolyn K Forte | 29 Forest Ct S, Hamden, CT 06518-2712 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Marissa Jacko | 101 Hillcrest Ave, Stratford, CT 06614-3514 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Marissa B Migdol Pa | 83 Newfield Ave Apt 27, Waterbury, CT 06708 | Physician Assistant | 2004-06-16 ~ 2005-03-31 |
Marissa C Carignan | 41 Niantic River Rd, Waterford, CT 06385-2529 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Marissa J Fistola Pa-c | 40 Edgewood St, Stafford Springs, CT 06076 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Carlye Marissa Bianco | 10 Wells Ave, Stamford, CT 06902-7619 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Marissa Ann Sylvester | 702 Pleasant Valley Road North, Groton, CT 06340 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Alex N Forte · Forte Buildingand Remodeling | 123 Church St, Newington, CT 06111-4802 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
Marissa A Roy | 741 Mountain Rd, Suffield, CT 06078-2011 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
Marissa Morales | 16 Murray Ave Apt 4, Westfield, MA 01085-1583 | Physical Therapist Assistant | 2017-01-01 ~ 2017-12-31 |
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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).