KATHLEEN M ORAZIETTI PA (Credential# 741967) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
KATHLEEN M ORAZIETTI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000218. The credential type is physician assistant. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 717 Long Hill Ave., Shelton, CT 06484. The current status is active.
| Licensee Name | KATHLEEN M ORAZIETTI PA |
| Credential ID | 741967 |
| Credential Number | 23.000218 |
| Credential Type | Physician Assistant |
| Business Address |
717 Long Hill Ave. Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-15 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-12-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 980394 | CSP.0049502 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-01-14 | 2017-03-01 - 2019-02-28 | LAPSED |
| 217903 | CSP.0028701 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE | |
| 856636 | 70.870615 | Emergency Medical Technician | 1987-05-16 | - 1992-06-30 | INACTIVE |
| Street Address | 717 LONG HILL AVE. |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Shea | 182 Front St., New Haven, CT 06513 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Kathleen Wilcox | 47 Millard St Fl 2, New Britain, CT 06051-2431 | Physician Assistant | 2020-06-25 ~ 2020-09-30 |
| Kathleen M Reccord Pa | 9 1/2 Oakland St, Wilbraham, MA 01095 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kathleen K Treanor | 111 Jamestown Dr, Springfield, MA 01108-3145 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kathleen Hutcheon | 105 Pleasant Ave, White Plains, NY 10605 | Physician Assistant | 1996-08-26 ~ 1997-10-31 |
| Kathleen F Latronica Pa-c | 39 Round Hill Rd, Woodbridge, CT 06525 | Physician Assistant | 2012-07-01 ~ 2013-06-30 |
| Kathleen Kelliher Pa | 111 Whiting Lane, West Hartford, CT 06119 | Physician Assistant | 2019-07-01 ~ 2020-06-30 |
| Kathleen Mary Kellerman Pa | 11 Saxton Lane, Broad Brook, CT 06016 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Rachel Kathleen Valdivieso | 55 Dorset Xing Unit 325, Simsbury, CT 06070-1476 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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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).