MARC S D'AMATO (Credential# 742267) is licensed (Physician Assistant) 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.
MARC S D'AMATO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000518. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 31 Strawberry Lane, Middlefield, CT 06455. The current status is active.
| Licensee Name | MARC S D'AMATO |
| Credential ID | 742267 |
| Credential Number | 23.000518 |
| Credential Type | Physician Assistant |
| Business Address |
31 Strawberry Lane Middlefield CT 06455 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-08-18 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 379013 | CSP.0035651 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 31 STRAWBERRY LANE |
| City | MIDDLEFIELD |
| State | CT |
| Zip Code | 06455 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laidis M. De Laosa | 31 Strawberry Lane, Middlefield, CT 06455 | Certified Public Accountant License | 1997-01-01 ~ 1997-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Bekui Md | 17 Orchard Lane, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Millicent M Malcolm | 369 Baileyville Rd, Middlefield, CT 06455 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Joanne Giardina | 28 Valley Heights Dr, Middlefield, CT 06455 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Adam E Perrin Md · Mhs Primary Care Incorporated | 400 Baileyville Road, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lyman Orchards Apple Barrel | Route 157, Middlefield, CT 06455 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Infinity Building LLC | 10 Levesque Rd, Middlefield, CT 06455 | Home Improvement Contractor | 2020-06-17 ~ 2020-11-30 |
| Mark Albin Dvm | Powder Ridge Vet Hospital, Middlefield, CT 06455 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Pamela M Branciforte | 115 Cherry Hill Rd, Middlefield, CT 06455 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Megan E Etheridge | 86 School Street, Middlefield, CT 06455 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Z Jan Wojas | 5 Race Track Hollow, Middlefield, CT 06455 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06455 | |||
| City | MIDDLEFIELD |
| Zip Code | 06455 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Acquaviva D'amato | 44 Cheltenham Way, Avon, CT 06001 | Physician Assistant | ~ |
| Dina D'amato Pa | 27 Rosemary Court, Middlefield, CT 06455 | Physician Assistant | 1999-12-27 ~ 2001-01-31 |
| Marc Thomas Civitano | 51 Caprice Dr, Stamford, CT 06902 | Physician Assistant | ~ |
| Marc A Norman Pa-c | 40 Prospect Ave Apt 2, Norwalk, CT 06850-3737 | Physician Assistant | 2010-04-01 ~ 2011-03-31 |
| Marc Robert Feldmeier Pa | 41 Hunters Mtn Rd, Oxford, CT 06478 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Marc Benjamin | 40 Glen Hollow, West Hartford, CT 06117-2224 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Marc Tabayoyong Campos | 189 Harland Road, Norwich, CT 06360 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Alan P Amato · Amato Masonry | 56 Hillside Drive, Beacon Falls, CT 06403 | Home Improvement Contractor | 2013-02-16 ~ 2013-11-30 |
| Dba Amato's and Son Abate · Polly A. Amato | 13 Springdale Avenue, Meriden, CT 06451 | Asbestos Contractor | 2009-02-27 ~ 2010-02-28 |
| D'amato Drive | 31 D'amato Drive, Oakdale, CT 06370 | Community Living Arrangement | 2019-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on MARC S D'AMATO.
| 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).