ALISSA B BOLOGNA SICILIANO (Credential# 743522) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2006. The license expiration date date is October 31, 2007. The license status is INACTIVE.
ALISSA B BOLOGNA SICILIANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001773. The credential type is physician assistant. The effective date is September 1, 2006. The expiration date is October 31, 2007. The business address is 36 Waters Edge, Ludlow, MA 01056. The current status is inactive.
| Licensee Name | ALISSA B BOLOGNA SICILIANO |
| Credential ID | 743522 |
| Credential Number | 23.001773 |
| Credential Type | Physician Assistant |
| Business Address |
36 Waters Edge Ludlow MA 01056 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-06-01 |
| Effective Date | 2006-09-01 |
| Expiration Date | 2007-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 36 Waters Edge |
| City | Ludlow |
| State | MA |
| Zip Code | 01056 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ludlow Central Bakery · Ludlow Central Bakery Inc | 270 East St, Ludlow, MA 01056 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Alan J Vautrain | 45 Booth St., Ludlow, MA 01056 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Elizabete R Branco | 432 Munsing St, Ludlow, MA 01056 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Amanda Lee Banks | 125 Coolidle Ave, Ludlow, MA 01056 | Registered Nurse | ~ |
| Nicole Ashley Skelly | 35 Knollwood Road, Ludlow, MA 01056 | Notary Public Appointment | 2015-02-19 ~ 2020-02-28 |
| Vitor Machado | 32 Emma Way, Ludlow, MA 01056 | Hoisting Equipment Operator | 2020-05-17 ~ 2022-05-16 |
| Richard Wheway | 308 Miller St, Ludlow, MA 01056 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Vanessa P Ferreira | 146 Center Street, Ludlow, MA 01056 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Kali Olsen | 58 Lakeview Ave, Ludlow, MA 01056 | Naturopathic Physician | 2020-04-01 ~ 2021-03-31 |
| Katherine M Dacruz · Gazda | 292 Woodland Circle, Ludlow, MA 01056 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Find all Licenses in zip 01056 | |||
| City | Ludlow |
| Zip Code | 01056 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Ludlow |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alissa M Pictrowski | 188 Gulf Street, Milford, CT 06460 | Physician Assistant | 2002-09-30 ~ 2003-09-30 |
| Mark D Siciliano · Siciliano Plumbing & Heating | 20 Wandering Mdws, Wilbraham, MA 01095-1365 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Alissa M Karlon | 57 Maple Ave., Windsor, CT 06095 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
| Siciliano's Italian Deli | 346 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2002-08-06 ~ 2003-07-31 |
| Donna M Siciliano | 979 Benton Street, Woodmere, NY 11598 | Physician/surgeon | ~ 1996-03-31 |
| Alissa J Burge | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alissa K. Greenberg-lee | 29 Valley Rd, Scarsdale, NY 10583-1126 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Alissa A Grill | 12 Vanderbilt Way, North Woodmere, NY 11581 | Physician/surgeon | 1994-04-11 ~ 1995-04-30 |
| Alissa J. Mark | 3030 Westchester Ave, Purchase, NY 10577-2574 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nichole Bologna Burn Fund | 140 Sutton Avenue, Stratford, CT 06615 | Public Charity-exempt From Financial Requirements | ~ |
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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).