MIRANDA WARUNEK (Credential# 1528460) 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.
MIRANDA WARUNEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004262. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 38 Antrim Rd, Yatesville, PA 18640-3701. The current status is active.
| Licensee Name | MIRANDA WARUNEK |
| Credential ID | 1528460 |
| Credential Number | 23.004262 |
| Credential Type | Physician Assistant |
| Business Address |
38 Antrim Rd Yatesville PA 18640-3701 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-24 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1528508 | CSP.0068929 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-09-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1598768 | 23.004233-RES | Resident Physician Assistant | 2018-09-10 | 2018-09-10 - 2019-09-06 | INACTIVE |
| Street Address | 38 ANTRIM RD |
| City | YATESVILLE |
| State | PA |
| Zip Code | 18640-3701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benco Dental Co | 295 Center Point Boulevard, Pittston, PA 18640 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Nature's Way Purewater · Ushydrations | 164 Commerce Rd, Pittston, PA 18640 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
| Catherine Duran | 60 Lambert Street, Pittston, PA 18640 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Interstate Building Materials Inc | 322 Laurel St, Pittston, PA 18640 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Charles Joseph Consagra | 11 Carey Ln, Jenkins Twp, PA 18640 | Architect | 2017-08-29 ~ 2018-07-31 |
| Brandon Philip Lombardo | 301 Vilna Rd, Pittston, PA 18640 | Physician Assistant | 2017-10-04 ~ 2018-05-31 |
| Kevin H Smith | 157 S Highland Dr, Pittston, PA 18640 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| New Life Home Care Inc | 48 South Main Street; Suite #401, Pittston, PA 18640 | Nonresident Pharmacy | 2011-09-01 ~ 2012-08-31 |
| Christopher A Gilroy | 775 Main St Apt 4, Pittston, PA 18640 | Tv & Radio Limited Dish Antenna Technician | 2007-10-30 ~ 2008-08-31 |
| Edward S Kobi | 15 Welsh St, Pittston, PA 18640 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Find all Licenses in zip 18640 | |||
| City | YATESVILLE |
| Zip Code | 18640 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + YATESVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kendra L Miranda Pa-c | 202 Mcnair Circle, Northampton, PA 18067 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
| Manuel D Miranda · M D Miranda G C | 42 Ives Road, Goshen, CT 06756 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
| Miranda Vineyard | 42 Ives Rd, Goshen, CT 06756 | Farm Winery Liquor | 2020-02-21 ~ 2021-06-20 |
| Thomas J Miranda · Miranda Building & Remodeling | 80 Perry Dr, New Milford, CT 06776-4215 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Juan P Miranda · Paul Miranda Painting | 173 Davis Ave, Greenwich, CT 06380 | Home Improvement Contractor | 1999-02-04 ~ 1999-11-30 |
| Miranda Quarles | 838 Clark St, Bridgeport, CT 06606-3201 | Family Child Care Assistant | 2004-10-12 ~ |
| Jorge Miranda · Miranda's Constructions | 11 Turner St, Willimantic, CT 06226-2724 | Home Improvement Contractor | 2018-03-20 ~ 2018-11-30 |
| Duarte A C Miranda · Miranda's Welding | 579 Plains Rd, Milford, CT 06460 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| 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 |
| Kristen Miranda | 5772 2nd St., San Francisco, CA 94107 | Physician/surgeon | 2019-12-03 ~ 2020-10-31 |
Please comment or provide details below to improve the information on MIRANDA WARUNEK.
| 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).