KENDRA L MIRANDA PA-C (Credential# 743244) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
KENDRA L MIRANDA PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001495. The credential type is physician assistant. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 202 Mcnair Circle, Northampton, PA 18067. The current status is inactive.
| Licensee Name | KENDRA L MIRANDA PA-C |
| Credential ID | 743244 |
| Credential Number | 23.001495 |
| Credential Type | Physician Assistant |
| Business Address |
202 Mcnair Circle Northampton PA 18067 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-07-23 |
| Effective Date | 2017-11-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 379883 | CSP.0035746 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-07 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 202 MCNAIR CIRCLE |
| City | NORTHAMPTON |
| State | PA |
| Zip Code | 18067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Envionmental Waste Minimization | 14 Brick Kiln Ct, Northhampton, PA 18067 | Demolition Contractor | 2019-01-01 ~ 2019-12-31 |
| Jennifer Marie Frantz | 3580 Church Road, Northampton, PA 18067 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Amy L Miller | 517 E 20th St, Northampton, PA 18067 | Registered Nurse | 2003-05-23 ~ 2004-07-31 |
| Jennifer Lynn Diproperzio | 3253 Cherryville Rd, Northampton, PA 18067-1018 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Chris Ann Schoenberger | 1423 Newport Ave, Northampton, PA 18067-1445 | Registered Nurse - Temporary | 2019-10-16 ~ 2020-02-13 |
| Kelly Ann Houle | 669 Buckingham Dr, Northampton, PA 18067-8709 | Registered Nurse | ~ |
| Lehigh Valley Technical Associates Inc | 1584 Weaversville Rd, Northampton, PA 18067-9039 | Professional Engineering Corporation | 2020-07-22 ~ 2021-07-21 |
| Kenneth S Peoples | 1584 Weaversville Rd, Northampton, PA 18067-9039 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Rosaly Heben | 4807 Kreidersville Rd, Northampton, PA 18067-9226 | Registered Nurse - Temporary | 2020-02-28 ~ 2020-06-27 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandi M Forman | 123 South St Apt 4, Northampton, MA 01060-4036 | Esthetician | 2020-06-22 ~ 2022-01-31 |
| Martha H Lyon | 313 Elm St, Northampton, MA 01060 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Jacob T Henricksen | 375 South St, Northampton, MA 01060-4144 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Karen M Cahalane | 349 South St, Northampton, MA 01060-4124 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Joanne N Corbin | 73 Barrett St., Northampton, MA 01060 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Anna C. Southam | 74 Bridge St #4, Northampton, MA 01060 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Marla R Allisan · Wagshan | 93 Franklin Street, Northampton, MA 01060-2038 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Christine Marie Grimaldi | 49 Pine Brook Curve, Northampton, MA 01060 | Occupational Therapist | 2020-05-21 ~ 2021-07-31 |
| Lisa Ellingsen | 59 Laurel Park, Northampton, MA 01060-1196 | Registered Nurse | ~ |
| Heritage Hemp LLC | 99 Industrial Dr, Northampton, MA 01060-2359 | Seed Labeler | 2020-05-07 ~ 2021-03-31 |
| Find all Licenses in NORTHAMPTON | |||
| City | NORTHAMPTON |
| Zip Code | 18067 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTHAMPTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kendra Dawless | 32 Squirrels Run, West Greenwich, RI 02817-2502 | Physician Assistant | ~ |
| Kendra R Devanney Pa | 28 Evergreen Lane, Glastonbury, CT 06033 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kendra Jade Mcgregor | 5943 Springhouse Rd, Rome, NY 13440-7862 | Physician Assistant | 2020-06-25 ~ 2021-03-31 |
| Miranda Warunek | 38 Antrim Rd, Yatesville, PA 18640-3701 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Manuel D Miranda · M D Miranda G C | 42 Ives Road, Goshen, CT 06756 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
| Kendra L Beaudoin | 30 Bel Aire Dr, Plainville, CT 06062-1045 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Kendra R Feltz | 695 Bound Line Rd, Wolcott, CT 06716-1542 | Physical Therapist Assistant | 2014-09-01 ~ 2015-08-31 |
| Kendra George | 345 Lincoln Street, Waterbury, CT 06710 | Family Child Care Assistant | 1999-05-07 ~ |
| Miranda Vineyard | 42 Ives Rd, Goshen, CT 06756 | Farm Winery Liquor | 2020-02-21 ~ 2021-06-20 |
| Thomas J Miranda · Miranda Building & Remodeling | 80 Perry Dr, New Milford, CT 06776-4215 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on KENDRA L MIRANDA 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).