MATTHEW J MIKO (Credential# 742144) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2017. The license expiration date date is March 31, 2018. The license status is INACTIVE.
MATTHEW J MIKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000395. The credential type is physician assistant. The effective date is April 1, 2017. The expiration date is March 31, 2018. The business address is 830 Pin Hook Road, Spring City, TN 37381. The current status is inactive.
| Licensee Name | MATTHEW J MIKO |
| Credential ID | 742144 |
| Credential Number | 23.000395 |
| Credential Type | Physician Assistant |
| Business Address |
830 Pin Hook Road Spring City TN 37381 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-11-19 |
| Effective Date | 2017-04-01 |
| Expiration Date | 2018-03-31 |
| Refresh Date | 2018-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164326 | CSP.0022294 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 830 Pin Hook Road |
| City | Spring City |
| State | TN |
| Zip Code | 37381 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald D Woodyard | 1279 Old Stage Road, Spring City, TN 37381 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Alexis Design LLC | 171 Hoyal Lane, Spring City, TN 37381 | Manufacturer of Bedding & Upholstered Furniture | 2005-09-09 ~ 2006-04-30 |
| Malena S Marsh | 1100 Bill Miller Road, Spring City, TN 37381 | Registered Nurse | 2002-10-24 ~ 2003-07-31 |
| Sherwood 2000 Inc | Po Box 519, Spring City, TN 37381 | Manufacturer of Bedding & Upholstered Furniture | 1997-05-01 ~ 1998-04-30 |
| Coldnose Coalition | 402 Strawberry Rd, Spring City, TN 37381-4459 | Animal Importer | 2015-07-09 ~ 2015-12-31 |
| Michael D Gales | 153 Kari Dr, Spring City, TN 37381-6510 | Heating, Piping & Cooling Limited Journeyperson | 2013-09-01 ~ 2014-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tanya M Millet | 223 N Penn St, Spring City, PA 19475-1728 | Architect | 2020-08-01 ~ 2021-07-31 |
| Edith Osei Tutu | 212 Eadie Way, Spring City, PA 19475 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| James W Adams | 703 Pughtown Rd, Spring City, PA 19475-3312 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
| Michelle R Laplante | 385 Brook Drive, Spring City, PA 19475 | Dental Hygienist | 2005-03-10 ~ 2006-03-31 |
| Diana J. Serwacki | 428 Winding Stream Road, Spring City, PA 19475 | Pharmacist | 1999-02-01 ~ 2000-01-31 |
| City | Spring City |
| Zip Code | 37381 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Spring City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew A Bouteiller Pa | 50 Union St Apt 9, Northampton, MA 01060-3254 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Matthew E. Milstein | Psc 475 Box 1315, Fpo Yokohama, 96350 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Matthew Champeau Pa | 234 Spielman Hwy, Burlington, CT 06013-2010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew C Singleton Pa-c | 41 Rochela Dr, Southington, CT 06489-4670 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Matthew J Moore | 55 Langdon Ct, Berlin, CT 06037-1316 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
| Matthew B Band | 19 Worden Cir, Cheshire, CT 06410 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Matthew W. Musco Pa-c | 132 Clearfield Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew M Faucher | 26 Hawthorne Pl, North Andover, MA 01845-4205 | Physician Assistant | ~ |
| Matthew T Mitchell Pa | 118 Osborne St Apt 1c, Danbury, CT 06810 | Physician Assistant | 2004-11-01 ~ 2005-10-31 |
| Matthew A Sleboda | 5 Finn Ln, Plainfield, CT 06374-2062 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MATTHEW J MIKO.
| 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).