ANDREA LYNNE GRAMMATICO (Credential# 1533640) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ANDREA LYNNE GRAMMATICO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004256. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 10 Stoney Brook Rd, Wallingford, CT 06492-2759. The current status is active.
| Licensee Name | ANDREA LYNNE GRAMMATICO |
| Credential ID | 1533640 |
| Credential Number | 23.004256 |
| Credential Type | Physician Assistant |
| Business Address |
10 Stoney Brook Rd Wallingford CT 06492-2759 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-20 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1603041 | CSP.0069587 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-09-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 10 STONEY BROOK RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2759 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph C Grammatico | 10 Stoney Brook Rd, Wallingford, CT 06492-2759 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Margaret Grammatico Pa | 10 Stoney Brook Rd, Wallingford, CT 06492-2759 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Megan Grammatico | 10 Stoney Brook Rd, Wallingford, CT 06492-2759 | Emergency Medical Technician | 2012-12-03 ~ 2015-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph C Grammatico | 10 Stoney Brook Rd, Wallingford, CT 06492-2759 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Margaret Grammatico Pa | 10 Stoney Brook Rd, Wallingford, CT 06492-2759 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Melanie Lynne Rasmus | 225 Wiese Albert Rd, Higganum, CT 06441-4040 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
| Jennifer Lynne Walz | 284 Guinevere Ridge, Cheshire, CT 06410 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Lynne Mary Meccariello | 75 Walton Avenue, White Plains, NY 10606 | Physician Assistant | ~ |
| Teresa Lynne Slager | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Andrea L Calore | 110 Woodbury Rd, Watertown, CT 06795-2130 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Andrea M Lagasse | 20 Greenmeadow Ln, Granby, MA 01033-9594 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Andrea Cunningham | 520 E 20th St Apt 8d, New York, NY 10009-8313 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
| Andrea J Stannard Pa | 34 Chelsea Circle, Bethany, CT 06524 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on ANDREA LYNNE GRAMMATICO.
| 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).