LORI L CICCONE (Credential# 743637) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LORI L CICCONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001888. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1527 Ct-12, Gales Ferry, CT 06335. The current status is active.
| Licensee Name | LORI L CICCONE |
| Credential ID | 743637 |
| Credential Number | 23.001888 |
| Credential Type | Physician Assistant |
| Business Address |
1527 Ct-12 Gales Ferry CT 06335 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-03-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 465339 | CSP.0041221 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 684804 | 13.004648 | Dental Hygienist | 1989-03-11 | 2009-03-23 - 2010-03-31 | INACTIVE |
| Street Address | 1527 CT-12 |
| City | Gales Ferry |
| State | CT |
| Zip Code | 06335 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally M Derusha · Mccrea | 8 Brewster Drive, Gales Ferry, CT 06335 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Melissa A Kearney · Seidel | 853 Long Cove Rd, Gales Ferry, CT 06335 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Thomas Mcgarry | 1649 Ct-12, Gales Ferry, CT 06335 | Cross Connection Survey Inspector | 2020-03-05 ~ 2022-12-31 |
| Barbara J Smith | 5 Woodridge Circle, Gales Ferry, CT 06335 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Mary E Hurley | 8 Cornell Court, Gales Ferry, CT 06335 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Hanson Aprn | 31 Washington Drive, Gales Ferry, CT 06335 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts #331844 · J J M A Donuts LLC | 1662 Route 12, Gales Ferry, CT 06335 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Mcdonalds | 1678 Rte 12, Gales Ferry, CT 06335 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Carol A Collette | 2 Stonybrook Rd, Gales Ferry, CT 06335 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Reginald L Weed · R L Weed Company | 52a Vinegar Hill Rd, Gales Ferry, CT 06335 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06335 | |||
| City | Gales Ferry |
| Zip Code | 06335 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Gales Ferry |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lori A Bryon | 191 Western Avenue, Westfield, MA 01085 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Lori M Tilden-smith | 79 Old Sawmill Road, Belchertown, MA 01007 | Physician Assistant | 2002-01-08 ~ 2003-01-31 |
| Antonio Ciccone | Po Box 599, Roseland, NJ 07068 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Pasticcoria & Caffee Ciccone | 576 Main St, Branford, CT 06405 | Operator of Weighing & Measuring Devices | 1997-08-01 ~ 1998-07-31 |
| Ciccone Custom Carpentry LLC | 113 Old Voluntown Rd, Griswold, CT 06351-8847 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Caleb Ciccone · Ciccone Home Improvement | 113 Old Voluntown Rd, Griswold, CT 06351-8847 | Home Improvement Salesperson | 2014-12-01 ~ 2015-11-30 |
| Ciccone's Family Restaurant | 620 Coe Ave, East Haven, CT 06512 | Bakery | 2003-07-01 ~ 2004-06-30 |
| Gary Ciccone Foundation Inc | 15 E Byway, Greenwich, CT 06831-3618 | Public Charity-exempt From Financial Requirements | 2019-02-20 ~ |
| 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 |
| Al Ciccone Home Improvement LLC | 67 Church St, Hamden, CT 06514 | Home Improvement Contractor | 2009-12-17 ~ 2010-11-30 |
Please comment or provide details below to improve the information on LORI L CICCONE.
| 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).