MARY J MILES (Credential# 742130) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 8, 1995. The license expiration date date is November 30, 1996. The license status is INACTIVE.
MARY J MILES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000381. The credential type is physician assistant. The effective date is December 8, 1995. The expiration date is November 30, 1996. The business address is 38 Water Street, Eastport, ME 04631. The current status is inactive.
| Licensee Name | MARY J MILES |
| Credential ID | 742130 |
| Credential Number | 23.000381 |
| Credential Type | Physician Assistant |
| Business Address |
38 Water Street Eastport ME 04631 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-11-12 |
| Effective Date | 1995-12-08 |
| Expiration Date | 1996-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 38 WATER STREET |
| City | EASTPORT |
| State | ME |
| Zip Code | 04631 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arnold Pomeroy | 22 Roye St, Eastport, ME 04631 | Heating, Piping & Cooling Limited Journeyperson | 2010-09-01 ~ 2011-08-31 |
| Helen D Geils | 11 Sullivan Street, Eastport, ME 04631 | Advanced Practice Registered Nurse | 1997-02-03 ~ 1998-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John M Lamprecht · Land Air Water Environmental Srvcs Inc | 20 Drew Dr, Eastport, NY 11941-1335 | Non-water Supply Contractor | 2019-05-01 ~ 2020-04-30 |
| Ellen L Finley | 57 Seatuck Avenue, Eastport, NY 11941 | Notary Public Appointment | 2006-02-28 ~ 2011-02-28 |
| Anne B. Platt | 127 Beethoven Ct, Eastport, NY 11941-1603 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Shawn W Conlon | 17 Lakeview Ct, Eastport, NY 11941-1209 | Emergency Medical Technician | 2010-01-13 ~ 2013-01-01 |
| Paul J Melnik | Box 494, Eastport, NY 11941 | Registered Nurse | 2003-10-14 ~ 2004-11-30 |
| Christina L Bukowski | 89 Drew Dr, Eastport, NY 11941 | Emergency Medical Technician | 2006-08-01 ~ 2008-04-01 |
| City | EASTPORT |
| Zip Code | 04631 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + EASTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joshua R Miles Pa-c | 22 Whispering Rod Rd, Unionville, CT 06085-1437 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Oluwakemi A Petinrin | 2737 Miles Ave., Bronx, NY 10465 | Physician Assistant | 2004-08-25 ~ 2005-05-31 |
| Mary E Fleming | 40 Prospect St. #2-3h, Norwalk, CT 06850 | Physician Assistant | 2004-09-15 ~ 2004-10-31 |
| Mary Holmes Pa | 188 Woodhaven, Glastonbury, CT 06033 | Physician Assistant | 2002-03-12 ~ 2003-04-30 |
| Mary B Mcchrystal Pa | 419 Fountain St, New Haven, CT 06515 | Physician Assistant | 2003-05-02 ~ 2004-06-30 |
| Mary L Warner | 7 Alden Ave, New Haven, CT 06515-2712 | Physician Assistant | 2013-08-01 ~ 2014-07-31 |
| Mary M Kelley | 25 Chestnut St, Rockville, CT 06066 | Physician Assistant | 2000-03-15 ~ 2001-05-31 |
| Mary E Summers | 550 Nut Plains Rd, Guilford, CT 06437 | Physician Assistant | 1999-11-23 ~ 2000-12-31 |
| Mary E Finan Pa | 65 Gilman St, Bridgeport, CT 06605 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
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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).