EMIL P OCCHIBOI (Credential# 1802453) 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.
EMIL P OCCHIBOI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004688. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 99 Lake View Ave, Salem, CT 06420-3728. The current status is active.
| Licensee Name | EMIL P OCCHIBOI |
| Credential ID | 1802453 |
| Credential Number | 23.004688 |
| Credential Type | Physician Assistant |
| Business Address |
99 Lake View Ave Salem CT 06420-3728 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-04 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1804391 | CSP.0072723 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-11-05 | 2019-11-05 - 2021-02-28 | ACTIVE |
| 1179365 | 54.000907 | Athletic Trainer | 2013-09-12 | 2018-05-01 - 2019-04-30 | INACTIVE |
| Street Address | 99 LAKE VIEW AVE |
| City | SALEM |
| State | CT |
| Zip Code | 06420-3728 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Koziatek | 99 Lake View Ave, Salem, CT 06420 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Jon Marquardt | 99 Lake View Ave, Salem, CT 06420-3728 | Medical Marijuana Dispensary Facility Employee | 2015-09-19 ~ 2016-09-18 |
| Foundation Sealers LLC | 99 Lake View Ave, Salem, CT 06420-3728 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marina R Bogart | 15 Lake View Ave, Salem, CT 06420-3728 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
| Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
| Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06420 | |||
| City | SALEM |
| Zip Code | 06420 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emil J Occhiboi | 11 Juniper Lane, Brookfield, CT 06804 | Wholesaler Salesman | 2016-08-10 ~ 2017-01-31 |
| Emil R Ferzola | 34 N. Highland View, Mahopac, NY 10541 | Occupational Therapist Assistant | 1999-07-12 ~ 2001-07-31 |
| Emil Mark · Emil Mark Custom Builder | 15 Derby Ave, Milford, CT 06460 | New Home Construction Contractor | 2006-06-29 ~ 2007-09-30 |
| Emil's Marketinc | 955 Broad Street, Hartford, CT 06106 | Non Legend Drug Permit | ~ 1994-12-31 |
| Emil Shih Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Emil Bisaccia | 182 South Street, Morristown, NJ 07960 | Physician/surgeon | 2000-09-26 ~ 2001-11-30 |
| Emil F Pascarelli | 228 West 11th Street, New York, NY 10014 | Physician/surgeon | 2000-07-18 ~ 2001-07-31 |
| Hans Emil Knopp | 1579 Straits Tpke, Middlebury, CT 06762-1835 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Emil C Muly IIi | 7190 Chattahoochee Bluff Drive, Atlanta, GA 30350 | Physician/surgeon | 1999-04-01 ~ 2000-04-30 |
| Strede, Emil & Sons, Inc | 50 Lamott Road, Coventry, CT 06238 | Demolition Contractor | 2012-04-01 ~ 2013-03-31 |
Please comment or provide details below to improve the information on EMIL P OCCHIBOI.
| 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).