MICHELLE RIVELLI MD (Credential# 549193) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MICHELLE RIVELLI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031451. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 22 Woodvale Rd, West Haven, CT 06516. The current status is active.
| Licensee Name | MICHELLE RIVELLI MD |
| Credential ID | 549193 |
| Credential Number | 1.031451 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Woodvale Rd West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-03-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158531 | CSP.0018967 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 22 WOODVALE RD |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard L Zangrillo Md | 22 Woodvale Rd, West Haven, CT 06516-6939 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle W Diu Md | 10130 Sw Morrison St, Portland, OR 97225 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Michelle Udeshi Md | 105 Via Foresta Ln, Williamsville, NY 14221 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Michelle P Chan Do | 15 Redcoat Rd, Norwalk, CT 06850 | Physician/surgeon | 2008-06-09 ~ 2009-03-31 |
| Michelle J Romero | 18 Crown St, Plainville, CT 06062-2215 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michelle Brosnan | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Michelle C Mcdade Md | 10 Newcastle Pl, Unionville, CT 06085 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michelle A Hayes | P.o. Box 99, Owings Mills, MD 21117 | Physician/surgeon | 2002-11-05 ~ 2003-11-30 |
| Michelle Garcia-rybkin | 70 Dubois St, Newburgh, NY 12550-4851 | Physician/surgeon | ~ |
| Michelle P Mallitz Md | 76 Lords Hwy, Weston, CT 06883-1728 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Michelle Loy | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MICHELLE RIVELLI MD.
| 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).