CARLY MELISSA MUNIZ (Credential# 1357133) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
CARLY MELISSA MUNIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003608. The credential type is physician assistant. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 575 Beech Street, Holyoke, MA 01040. The current status is active.
| Licensee Name | CARLY MELISSA MUNIZ |
| Credential ID | 1357133 |
| Credential Number | 23.003608 |
| Credential Type | Physician Assistant |
| Business Address |
575 Beech Street Holyoke MA 01040 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-06 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-05-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1365692 | CSP.0063479 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-12 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 575 Beech Street |
| City | Holyoke |
| State | MA |
| Zip Code | 01040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Devon Lent | 139 Saint Kolbe Drive, Holyoke, MA 01040 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erin Eileen Hurlburt | 77 Longwood Ave., Holyoke, MA 01040 | Registered Nurse | ~ |
| Meyers Brothers Kalicka PC | 330 Whitney Avenue Suite 800, Holyoke, MA 01040 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Zaisha Marie Robert | 267 Walnut St, Holyoke, MA 01040 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kimberly A Ferris | 104 Cross Rd, Holyoke, MA 01040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Francis J Hoey | 15 Carol Lane, Holyoke, MA 01040 | Professional Engineer | 2020-03-27 ~ 2021-01-31 |
| Sauvi Estrada | 57 Farnum Drive, Holyoke, MA 01040 | Medication Administration Certification | 2020-02-17 ~ 2022-02-16 |
| Anne M Hart | 61 N Pleasant St, Holyoke, MA 01040 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Suzannah E Jordan-reyes | 465 Hillside Avenue, Holyoke, MA 01040 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Anya Woronzoff Verriden | 1913 Northampton Street, Holyoke, MA 01040 | Psychologist | ~ |
| Find all Licenses in zip 01040 | |||
| City | Holyoke |
| Zip Code | 01040 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Holyoke |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carly Catherine Krisavage | 27 Village Crossing, Niantic, CT 06357 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Carly Beth Roy | 263 Farmington Ave, Farmington, CT 06030-0001 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Melissa M Muniz | 551 Old Quinnipiac Ave, North Haven, CT 06473-3759 | Hairdresser/cosmetician | 2018-10-01 ~ 2020-09-30 |
| Melissa Lemiech | P. O. Box 142, Somers, CT 06071 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Melissa L Marion Pa | 64 Robbins St, Waterbury, CT 06708-2613 | Physician Assistant | 2005-10-04 ~ 2006-07-31 |
| Melissa Pelton | 89 Mohawk St, Stratford, CT 06614 | Physician Assistant | 2008-03-21 ~ 2009-05-31 |
| Deanna M Locurto | 18 Melissa Ln, Prospect, CT 06712-1462 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Melissa M Lariviere Pa | 39 Pervier Ave, Chicopee, MA 01020-4445 | Physician Assistant | 2010-09-27 ~ 2011-07-31 |
| Melissa Acquaviva D'amato | 44 Cheltenham Way, Avon, CT 06001 | Physician Assistant | ~ |
| Melissa Smirnow | 205 10th St, Jersey City, NJ 07302 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on CARLY MELISSA MUNIZ.
| 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).