IRENE CORDILICO (Credential# 742673) 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.
IRENE CORDILICO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000924. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 595 Highland St, Wethersfield, CT 06109-3937. The current status is active.
| Licensee Name | IRENE CORDILICO |
| Credential ID | 742673 |
| Credential Number | 23.000924 |
| Credential Type | Physician Assistant |
| Business Address |
595 Highland St Wethersfield CT 06109-3937 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-01-12 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 231697 | CSP.0029301 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-03-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 595 HIGHLAND ST |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-3937 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Salvatore Sardo Jr. | 581 Highland St, Wethersfield, CT 06109-3937 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Irene Mitchell | 63 Paul Ter, Southington, CT 06489-4128 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Irene M Vangsness | 77 Cow Pen Hill Road, Killingworth, CT 06419 | Physician Assistant | 2005-05-24 ~ 2006-07-31 |
| Janice A Cordilico | 15 Merriman Road, Wethersfield, CT 06109 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Irene Figgers | 640 Mix Ave Apt 5e, Hamden, CT 06514-2342 | Physical Therapist Assistant | 2010-11-01 ~ 2011-10-31 |
| 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 |
| Guinevere M Gonyea | 465 Irene St, Chicopee, MA 01020-2272 | Occupational Therapist Assistant | 2007-10-24 ~ 2009-07-31 |
| Irene R Mckenna | 165 Castle Ln, Milford, CT 06460-7515 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Irene C Gersz | 749 N Farms Rd, Wallingford, CT 06492-2541 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
| Irene M Chvirko | 48 First Avenue, Seymour, CT 06483 | Physical Therapist Assistant | 2012-11-01 ~ 2013-10-31 |
| Mabel Irene Rueda | 85 Courtland Ave Apt 9, Stamford, CT 06902-3442 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).