MICHAEL C VERVILLE PA-C (Credential# 743703) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 28, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.
MICHAEL C VERVILLE PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001954. The credential type is physician assistant. The effective date is April 28, 2008. The expiration date is April 30, 2009. The business address is 40 Prospect Ave Bldg 1 Apt 1m, Norwalk, CT 06850. The current status is inactive.
Licensee Name | MICHAEL C VERVILLE PA-C |
Credential ID | 743703 |
Credential Number | 23.001954 |
Credential Type | Physician Assistant |
Business Address |
40 Prospect Ave Bldg 1 Apt 1m Norwalk CT 06850 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2007-08-31 |
Effective Date | 2008-04-28 |
Expiration Date | 2009-04-30 |
Refresh Date | 2009-08-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
484855 | CSP.0042716 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-11-20 | 2008-03-01 - 2009-02-28 | INACTIVE |
Street Address | 40 PROSPECT AVE BLDG 1 APT 1M |
City | NORWALK |
State | CT |
Zip Code | 06850 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06850 |
City | NORWALK |
Zip Code | 06850 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + NORWALK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wallace Neumann & Verville, LLP | 8930 Spanish Ridge Ave, Las Vegas, NV 89148 | Certified Public Accountant Firm Permit | 2013-01-01 ~ 2013-12-31 |
Verville Support Services | 62a Union Street, Vernon, CT 06066 | Public Charity-exempt From Financial Requirements | ~ |
Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Carl L Michael | 25 Lefferts Ave., Brooklyn, NY 11225 | Physician Assistant | 2000-06-15 ~ 2000-11-30 |
Michael A Evers | 15 Jenyfer Ct, Shelton, CT 06484 | Physician Assistant | 1995-11-22 ~ 1996-12-31 |
Michael E Gould | 54 Peddlers Dr, Branford, CT 06405-5833 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Michael T Oesau Pa | 267 Grant St, Bridgeport, CT 06610 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Michael G Chase | 399 Main Ave, Norwalk, CT 06851 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Michael J Griffin | 1 Tannery Rd, Fiskdale, MA 01518-1170 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
Michael L Zande Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).