VINCENT J MICCOLI PA (Credential# 234100) 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.
VINCENT J MICCOLI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029528. 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 245 Alvord Park Rd, Torrington, CT 06790. The current status is active.
| Licensee Name | VINCENT J MICCOLI PA |
| Credential ID | 234100 |
| Credential Number | CSP.0029528 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
245 Alvord Park Rd Torrington CT 06790 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-05-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742698 | 23.000949 | Physician Assistant | 2000-04-12 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 245 ALVORD PARK RD |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank Joseph Pompo | 245 Alvord Park Rd, Torrington, CT 06790-3493 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer A D'amico | 245 Alvord Park Rd, Torrington, CT 06790-3493 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lane D Spero Md | 245 Alvord Park Rd, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Litchfield Hills Surgery Center LLC · Litchfield Hills Surgery Center | 245 Alvord Park Rd, Torrington, CT 06790-3493 | Out-patient Surgical Facility | 2019-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Cogswell | 54 Birden St, Torrington, CT 06790 | Emergency Medical Technician | 2018-02-28 ~ 2020-06-30 |
| Maria Maclovia Vijay | 45 Cameron Street, Torrington, CT 06790 | Nail Technician | ~ |
| Tania Rosa Yupa | 141 Oak Av, Torrington, CT 06790 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria Teresa Aguaiza | 518 Circle Dr., Torrington, CT 06790 | Nail Technician | ~ |
| Gail A Langlois | 170 Hoerle Blvd, Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petricon's Torrington Pharmacy | 110 East Main St, Torrington, CT 06790 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Danielle L Jolicoeur | 25 Millard Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Elizabeth Etta Begley | 1268 East Main St., Torrington, CT 06790 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Margaret A Gumbs | 415 Hillandale Blvd., Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Apex Community Care, Inc. | 601 South Main St. Unit #3, Torrington, CT 06790 | Psychiatric Outpatient Clinic | 2020-06-19 ~ 2023-03-31 |
| Find all Licenses in zip 06790 | |||
| City | TORRINGTON |
| Zip Code | 06790 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TORRINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy L Vincent Dmd | 415 Highland Ave, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vincent L Kan | 128 High St, Shrewsbury, MA 01545-1684 | Controlled Substance Registration for Practitioner | ~ |
| Miranda Vincent | 459 Romanock Rd, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric A Liu | 9148 Vincent Ave S, Minneapolis, MN 55431-2156 | Controlled Substance Registration for Practitioner | 2017-05-30 ~ 2019-02-28 |
| Vincent J Stephens Md | 127 Vernon Rd, Bolton, CT 06043 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Vincent A Deluca Jr | 130 Division St, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Vincent Lau | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Controlled Substance Registration for Practitioner | 2019-06-27 ~ 2021-02-28 |
| Vincent J Squillacote Md | 30 Lyle Rd, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 1993-03-11 ~ 1995-02-01 |
| Vincent J Antonelli Dds | 115 Bridge St, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vincent N Smith | 27 Lise Cir, Suffield, CT 06078-1381 | Controlled Substance Registration for Practitioner | 2020-05-22 ~ 2021-02-28 |
Please comment or provide details below to improve the information on VINCENT J MICCOLI 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).