AMANDA S TISSOT (Credential# 1489144) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 22, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
AMANDA S TISSOT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058442-RES. The credential type is resident physician. The effective date is June 22, 2017. The expiration date is June 30, 2021. The business address is 262 Mills Cross Rd, Staatsburg, NY 12580-5401. The current status is active.
| Licensee Name | AMANDA S TISSOT |
| Credential ID | 1489144 |
| Credential Number | 1.058442-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
262 Mills Cross Rd Staatsburg NY 12580-5401 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-22 |
| Effective Date | 2017-06-22 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-02-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1430215 | CSP.0065820 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 262 MILLS CROSS RD |
| City | STAATSBURG |
| State | NY |
| Zip Code | 12580-5401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine A Dewkett | 271 Browns Pond Road, Staatsburg, NY 12580 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Castino Corporation · Leisure Tech | 2100 Rte# 9g, Staatsburg, NY 12580 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Milea Estate Vineyard I LLC | 46 Rymph Road, Staatsburg, NY 12580 | Out of State Winery | 2019-11-14 ~ 2020-11-13 |
| David M Andrick | 10 Nichris Ln, Staatsburg, NY 12580 | Home Inspector | 2019-07-01 ~ 2021-06-30 |
| Jon W Drickel | 67 Connelly Drive, Staatsburg, NY 12580 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| David F Kronn | 43 Creek Rd, Staatsburg, NY 12580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arthur V Legrand · Legrand Builders | 100 Sodom Rd, Staatsburg, NY 12580 | Home Improvement Contractor | 2008-06-04 ~ 2008-11-30 |
| William Henry Werle · Tss Technology Service Solution | 23 Louise Place, Staatsburg, NY 12580 | Repairer of Weighing & Measuring Devices | 1996-01-01 ~ 1996-12-31 |
| Glenn Portman | 12 Reservoir Rd, Staatsburg, NY 12580 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Scott Seelbach | 79 Seelbach Lane, Staatsburg, NY 12580 | Plumbing & Piping Unlimited Journeyperson | 2009-11-01 ~ 2010-01-26 |
| Find all Licenses in zip 12580 | |||
| City | STAATSBURG |
| Zip Code | 12580 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STAATSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Maame Esi Ocran | 925 Mix Ave Apt T4, Hamden, CT 06514-5117 | Resident Physician | 2020-07-05 ~ 2021-06-30 |
| Amanda Chiapa | 20 York St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Amanda Ferraro | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Amanda J Neider | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2021-06-27 |
| Amanda K Cavanaugh | 331 Ridgewood Rd, West Hartford, CT 06107-3537 | Resident Physician | 2015-07-01 ~ 2022-06-30 |
| Amanda Ellis Van Scoyoc | 20 York St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Amanda V O'meara | 823a Malletts Bay Ave, Colchester, VT 05446 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Amanda Quijano | 16 Turkey Hill Rd, Durham, CT 06422-1031 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Amanda Lynn Hernandez | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Amanda Lindo | 40 Prospect Ave Bldg 3j, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
Please comment or provide details below to improve the information on AMANDA S TISSOT.
| 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).