AMY J CIMMINELLO PA-C (Credential# 743079) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AMY J CIMMINELLO PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001330. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 148 East Ave Ste 1e, Norwalk, CT 06851-5727. The current status is active.
| Licensee Name | AMY J CIMMINELLO PA-C |
| Credential ID | 743079 |
| Credential Number | 23.001330 |
| Credential Type | Physician Assistant |
| Business Address |
148 East Ave Ste 1e Norwalk CT 06851-5727 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-02-03 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 436224 | CSP.0039071 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-04-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 148 EAST AVE STE 1E |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-5727 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne A Pierog | 148 East Ave Ste 2n, Norwalk, CT 06851-5727 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elias A. Pimentel | 148 East Ave Ste 1c, Norwalk, CT 06851-5727 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maragret Sweeney Md | 148 East Ave Ste 1d, Norwalk, CT 06851-5727 | Controlled Substance Registration for Practitioner | 2008-03-26 ~ 2009-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
| Aja Snow | 12 Rhinebeck Rd, Carmel, NY 10512 | Physician Assistant | ~ |
| Stacie Meisner | Po Box 384, Albion, RI 02802-0384 | Physician Assistant | ~ |
| Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Suechu Eng Taing | Po Box 304, Rosemead, CA 91770-0304 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on AMY J CIMMINELLO PA-C.
| 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).