LISA M AMBROGIO-DECOLA (Credential# 742995) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
LISA M AMBROGIO-DECOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001246. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 120 Townsend Ave, New Haven, CT 06512-4045. The current status is active.
| Licensee Name | LISA M AMBROGIO-DECOLA |
| Credential ID | 742995 |
| Credential Number | 23.001246 |
| Credential Type | Physician Assistant |
| Business Address |
120 Townsend Ave New Haven CT 06512-4045 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-10-09 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 323506 | CSP.0032878 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-10-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 751080 | 28.000287 | Radiographer | 1994-09-09 | 2015-08-01 - 2016-07-31 | INACTIVE |
| Street Address | 120 TOWNSEND AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06512-4045 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Salvatore E Decola | 120 Townsend Ave, New Haven, CT 06512-4024 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| C Marsha M Dymarczyk | 144 Townsend Ave, New Haven, CT 06512-4045 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | NEW HAVEN |
| Zip Code | 06512 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James Decola · Decola Landscaping | Po Box 917, Southport, CT 06890-0917 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| John F Ambrogio · Ambrogio Lock & More | 2 Fletcher Ave, Greenwich, CT 06831-4937 | Locksmith | 2019-02-07 ~ 2020-12-31 |
| Lisa P Ambrogio | 42 Highcrest Acres, Wethersfield, CT 06109 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Richard A Decola Sr · Decola's Plumbing & Heating Inc | 10680 Copper Lake Dr, Estero, FL 34135-8437 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Decola Realty LLC | 1172 Townsend Ave, New Haven, CT 06512 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Lisa Ambrogio | 76 Circle Dr, Greenwich, CT 06830 | Notary Public Appointment | 1993-07-15 ~ 1998-07-31 |
| Decola Landscaping LLC | Po Box 917, Southport, CT 06890 | Home Improvement Contractor | 2010-01-25 ~ 2010-11-30 |
| Decola's Plumbing & Heating Inc | 222 Elm St Ste 2, North Haven, CT 06473 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Lisa A. White | 4 Carlton Ln, Hopkinton, RI 02833-1103 | Physician Assistant | 2019-07-01 ~ 2020-06-30 |
| Ann Marie Schoppmann Pa | 11 Lisa Ln, Woodbridge, CT 06525 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on LISA M AMBROGIO-DECOLA.
| 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).