MARIA PANIAMOGAN (Credential# 743043) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 25, 2003. The license expiration date date is April 30, 2004. The license status is INACTIVE.
MARIA PANIAMOGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001294. The credential type is physician assistant. The effective date is February 25, 2003. The expiration date is April 30, 2004. The business address is 65 Renshaw Rd, Hamden, CT 06518. The current status is inactive.
| Licensee Name | MARIA PANIAMOGAN |
| Credential ID | 743043 |
| Credential Number | 23.001294 |
| Credential Type | Physician Assistant |
| Business Address |
65 Renshaw Rd Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-11-18 |
| Effective Date | 2003-02-25 |
| Expiration Date | 2004-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 326404 | CSP.0033013 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 65 RENSHAW RD |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caleb O Paniamogan | 65 Renshaw Road, Hamden, CT 06518 | Physician/surgeon | 2003-04-18 ~ 2004-06-30 |
| Maria De Vivo | 118 Oxford Rd, Southport, CT 06890 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Maria Braune | 229 E 87th St, New York, NY 10128 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
| Maria Landolina | 12 Canterbury Ln, Windsor, CT 06095-2061 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Maria G Bradley Pa | 15 Colony Rd, Milford, CT 06460 | Physician Assistant | 2006-05-30 ~ 2007-05-31 |
| Maria T Lydon | 215 Marwood Rd., Cabot, PA 16023 | Physician Assistant | 2003-10-27 ~ 2004-09-30 |
| Alicia Maria Gettel | 219 High St, Milford, CT 06460-3250 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Maria T Bromley Pa | 21 Stonewall Farm Rd, Mahopac, NY 10541 | Physician Assistant | 2015-04-01 ~ 2016-03-31 |
| Maria P Onofrio Pa | 141 Ansonia Road, Woodbridge, CT 06525 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bernardi | 1263 Bronson Rd, Fairfield, CT 06824-2811 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MARIA PANIAMOGAN.
| 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).