MICHAEL MERRILL CHILD (Credential# 1997221) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MICHAEL MERRILL CHILD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004762. The credential type is physician assistant. The effective date is March 2, 2020. The expiration date is March 31, 2021. The business address is 45 Willow Street, Springfield, MA 01103. The current status is active.
| Licensee Name | MICHAEL MERRILL CHILD |
| Credential ID | 1997221 |
| Credential Number | 23.004762 |
| Credential Type | Physician Assistant |
| Business Address |
45 Willow Street Springfield MA 01103 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-02 |
| Effective Date | 2020-03-02 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2014150 | CSP.0073300 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-03-04 | 2020-03-04 - 2021-02-28 | ACTIVE |
| Street Address | 45 WILLOW STREET |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin J Pearson | 45 Willow Street, Springfield, MA 01103 | Emergency Medical Technician | 2008-05-20 ~ 2010-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Louise King | 1607 Main Street Apt B203, Springfield, MA 01103 | Registered Nurse | ~ |
| Andrey Sinelnikov | 1350 Main St., Springfield, MA 01103 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gaurav Rana | 50 Maple Street, Springfield, MA 01103 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Hot Oven Cookies | 1597 Main St., Springfield, MA 01103 | Bakery | ~ |
| Sandy Z Liu | 15 Park Street Apt 210, Springfield, MA 01103 | Physician/surgeon | 2019-11-15 ~ 2020-07-31 |
| B John Dill | 1441 Main Street, Springfield, MA 01103 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Luz M. Delapaz | 122 Chestnut Street Apt 313, Springfield, MA 01103 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Brooke Moye | 27 Lyman Street D 609, Springfield, MA 01103 | Notary Public Appointment | 2011-03-01 ~ 2016-03-31 |
| Akquanna Desmina Wells | 235 State Street, Springfield, MA 01103 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Corporation for Public Management | 11-13 Hampden Street, Springfield, MA 01103 | Homemaker Companion Agency | 2019-11-01 ~ 2020-10-31 |
| Find all Licenses in zip 01103 | |||
| City | SPRINGFIELD |
| Zip Code | 01103 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Merrill | 616 East Street, North, Suffield, CT 06078 | Family Child Care Assistant | 2002-08-31 ~ 2002-08-31 |
| Leon H Merrill | 383 Highland Ave, Stratford, CT 06497 | Home Improvement Contractor | ~ 1995-01-01 |
| Michael Butler | 21 New St, Bristol, CT 06010-5352 | Family Child Care Assistant | 2020-01-24 ~ 2022-01-31 |
| Lynne A Zailckas | 54 Merrill Ct, Bristol, CT 06010-7129 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Akili Michael Blake | 331 Morse St, Hamden, CT 06517-3133 | Family Child Care Assistant | ~ |
| Michael Foley | 40 High St., Portland, CT 06480 | Family Child Care Assistant | 1996-08-31 ~ 1996-08-31 |
| Michael Flash | 109 Evergreen Ave., Hartford, CT 06105 | Family Child Care Assistant | 1997-07-01 ~ |
| Michael Kopek | 14 Somerset Ln, Milford, CT 06461-1692 | Family Child Care Assistant | 2019-10-22 ~ 2021-10-31 |
| Michael Allison | 329 Valley Ave, Bridgeport, CT 06606-3750 | Family Child Care Assistant | 2017-11-01 ~ 2019-10-31 |
Please comment or provide details below to improve the information on MICHAEL MERRILL CHILD.
| 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).