CHRISTINE L AMENDOLA PA (Credential# 396135) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
CHRISTINE L AMENDOLA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037041. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 56 Eastview Dr, Valhalla, NY 10595. The current status is inactive.
Licensee Name | CHRISTINE L AMENDOLA PA |
Credential ID | 396135 |
Credential Number | CSP.0037041 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
56 Eastview Dr Valhalla NY 10595 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2005-02-16 |
Effective Date | 2013-03-01 |
Expiration Date | 2015-02-28 |
Refresh Date | 2016-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
743330 | 23.001581 | Physician Assistant | 2005-01-03 | 2013-08-01 - 2014-07-31 | INACTIVE |
Street Address | 56 EASTVIEW DR |
City | VALHALLA |
State | NY |
Zip Code | 10595 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emily R Segal · Reichert | 35 Taylor Road, Valhalla, NY 10595 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Sahil Munjal | 100 Woods Road, Valhalla, NY 10595 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Isaac H. Shalom | Westchester Medical Center, New York, NY 10595 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Thomas D Cerabona | 401 Columbus Ave, Valhalla, NY 10595 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Joanne R Ricciardella | 364 Grasslands Road, Valhalla, NY 10595 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
Sunny D Mitchell | Dept of Surgery, Valhalla, NY 10595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Marcon Group Ltd · Gregg D Smolev | 120 Prospect Ave., Valhalla, NY 10595 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Emma Caitlin Mason | 45 Pamela Lane, Valhalla, NY 10595 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Katherine Osborn-jones | 115 South Kensico, Valhalla, CT 10595 | Registered Nurse | ~ |
Incoronata Lileika | 21 Locust St., Valhalla, NY 10595 | Audiologist | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10595 |
City | VALHALLA |
Zip Code | 10595 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VALHALLA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christine H Won Md | Po Box 208057, New Haven, CT 06520-8057 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine G Shupenis | Po Box 339, Bantam, CT 06750-0339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine Lathuras Dds | 160 Robbins St Ste 200, Waterbury, CT 06708-2652 | Controlled Substance Registration for Practitioner | 2019-03-10 ~ 2021-02-28 |
Christine R Rizk | 3 Brighton Way, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine L Vetter | 293 Bayberry Ln, Westport, CT 06880-1314 | Controlled Substance Registration for Practitioner | 2020-01-30 ~ 2021-02-28 |
Christine Hosein | 80 Dwight St Apt 1r, New Haven, CT 06511-5350 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Christine S Rinder Md | 11 Argyle Rd, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine M Trapp | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine Manthorne | 322 Jagger Ln, Hebron, CT 06248-1122 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine L Pohlmann Md | 55 Lock St, New Haven, CT 06511-3603 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).