DOMINICK C MARICONDA PA (Credential# 214344) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DOMINICK C MARICONDA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028350. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 32 Elizabeth St, Guilford, CT 06437-1734. The current status is active.
| Licensee Name | DOMINICK C MARICONDA PA |
| Credential ID | 214344 |
| Credential Number | CSP.0028350 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
32 Elizabeth St Guilford CT 06437-1734 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-06-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742543 | 23.000794 | Physician Assistant | 1998-12-18 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 32 ELIZABETH ST |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-1734 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy T Mariconda | 32 Elizabeth St, Guilford, CT 06437 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Qiaoqiao Wang | 20 Elizabeth St, Guilford, CT 06437-1734 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevan Lui Ip | 47 Elizabeth St, Guilford, CT 06437-1734 | Emergency Medical Technician | 2018-03-06 ~ 2020-10-01 |
| Amy A Paris | 70 Elizabeth St, Guilford, CT 06437-1734 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominick F Roto II | 145 Westford Rd., Eastford, CT 06242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dominick P Agostin | 15 Old Ridgefield Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dominick P Artuso | 80 Beecher Drive, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 1993-09-16 ~ 1995-06-01 |
| Dominick A Giordano | 21 Sherman Court, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christopher Dominick Thomas | 7035 Windfield Ct, Grand Blanc, MI 48439-9440 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dominick Perez · Dominick Construction | 26 High St, Stamford, CT 06902 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on DOMINICK C MARICONDA PA.
| 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).