DENISE L FITZGERALD (Credential# 741857) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
DENISE L FITZGERALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000108. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 67 Hartford Ave, Newington, CT 06111-2025. The current status is active.
| Licensee Name | DENISE L FITZGERALD |
| Credential ID | 741857 |
| Credential Number | 23.000108 |
| Credential Type | Physician Assistant |
| Business Address |
67 Hartford Ave Newington CT 06111-2025 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-09-03 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162315 | CSP.0023612 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 67 HARTFORD AVE |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2025 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Italian Gourmet Deli and Bakery | 15 Hartford Ave, Newington, CT 06111-2025 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Italian Gourmet Deli & Bakery LLC | 15 Hartford Ave, Newington, CT 06111-2025 | Bakery | 2011-07-01 ~ 2012-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Denise L Wilbert | 204 Grove St, Hanover, MA 02339-2111 | Physician Assistant | 2017-08-01 ~ 2018-07-31 |
| Denise Filosi Pa | 15 Cow Pen Hill Road, Killingworth, CT 06419 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Denise M Johnson Pa | 16 Orchard Drive, Uncasville, CT 06382 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Denise E Chang Pa | 57 Summary Street, Meriden, CT 06451 | Physician Assistant | 2001-06-11 ~ 2002-06-30 |
| Denise M Engrassia | 42 Craig Pl, Islip Terrace, NY 11752-1904 | Physician Assistant | 2020-04-01 ~ 2020-09-30 |
| Denise E Cologne Pa | 98 Country View Dr, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Robert Fitzgerald Jr · Fitzgerald Painting | 26 Riverview Ave, Westerly, RI 02891 | Home Improvement Contractor | ~ 1995-09-01 |
| Christine M Fitzgerald | 34 Joel Drive, Hebron, CT 06248 | Occupational Therapist Assistant | 2015-08-01 ~ 2017-07-31 |
| Charlotte H Anderson | 137 Fitzgerald Blvd, Coventry, CT 06238 | Occupational Therapist Assistant | 2007-07-05 ~ 2009-07-31 |
| Rosemary Kesling | 140 Fitzgerald Rd, Brooklyn, CT 06234 | Family Child Care Assistant | 1996-03-31 ~ 1996-03-31 |
Please comment or provide details below to improve the information on DENISE L FITZGERALD.
| 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).