MATTHEW DECAPRIO (Credential# 1687937) 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.
MATTHEW DECAPRIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004609. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 7334 Town Brooke, Middletown, CT 06457. The current status is active.
Licensee Name | MATTHEW DECAPRIO |
Credential ID | 1687937 |
Credential Number | 23.004609 |
Credential Type | Physician Assistant |
Business Address |
7334 Town Brooke Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-09-26 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1789442 | CSP.0072501 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-09-27 | 2019-09-27 - 2021-02-28 | ACTIVE |
1305144 | 70.019427 | Emergency Medical Technician | 2015-08-18 | 2015-08-18 - 2018-03-31 | INACTIVE |
Street Address | 7334 Town Brooke |
City | Middletown |
State | CT |
Zip Code | 06457 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | Middletown |
Zip Code | 06457 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Middletown |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jenine Decaprio Gesino Pa-c | 133 Upper Pattagansett Rd, East Lyme, CT 06333 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Daniel Decaprio · Decaprio Carpentry | 131 Kitemaug Rd, Uncasville, CT 06382-2203 | Home Improvement Contractor | 2020-02-17 ~ 2020-11-30 |
Joel Stephen Decaprio · Decaprio Home Improvement | 142 Bascom Rd, Lebanon, CT 06249-1603 | Emergency Medical Responder | 2018-05-17 ~ 2021-01-01 |
Decaprio Cpa & Associates PC | 500 East Main Street, Branford, CT 06405 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Matthew Wieland | 59 Maitland Rd, Stamford, CT 06906-2104 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Matthew D Nankin | 138 Fair St, Wallingford, CT 06492-4210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Matthew W. Musco Pa-c | 132 Clearfield Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Matthew T Mitchell Pa | 118 Osborne St Apt 1c, Danbury, CT 06810 | Physician Assistant | 2004-11-01 ~ 2005-10-31 |
Matthew E. Milstein | Psc 475 Box 1315, Fpo Yokohama, 96350 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
Matthew Champeau Pa | 234 Spielman Hwy, Burlington, CT 06013-2010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).