ALFRED MICHAEL PA (Credential# 743818) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2010. The license expiration date date is January 31, 2011. The license status is INACTIVE.
ALFRED MICHAEL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002069. The credential type is physician assistant. The effective date is February 1, 2010. The expiration date is January 31, 2011. The business address is 460 S Main St Apt 225, Syracuse, NY 13212-3047. The current status is inactive.
| Licensee Name | ALFRED MICHAEL PA |
| Credential ID | 743818 |
| Credential Number | 23.002069 |
| Credential Type | Physician Assistant |
| Business Address |
460 S Main St Apt 225 Syracuse NY 13212-3047 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-01-22 |
| Effective Date | 2010-02-01 |
| Expiration Date | 2011-01-31 |
| Refresh Date | 2011-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 488251 | CSP.0042859 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-04-18 | 2008-04-18 - 2009-02-28 | INACTIVE |
| Street Address | 460 S MAIN ST APT 225 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13212-3047 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| C & S Engineers Inc | 499 Col Eileen Collins Blvd, Syracuse, NY 13212 | Professional Engineering Corporation | 2020-01-15 ~ 2021-01-14 |
| Empire Crane Co., LLC | 7021 Performance Drive, Syracuse, NY 13212 | Crane Registration | 2019-10-22 ~ 2020-10-22 |
| The Empire Crane Co, LLC | 7021 Performance Dr., N. Syracuse, NY 13212 | Crane Registration | 2010-06-11 ~ 2011-06-10 |
| Orrin B Macmurray | C&s Engineers Inc, Syracuse, NY 13212 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
| Richard H Maybury | 212 Tolbert Dr, N Syracuse, NY 13212 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Joseph J Venner | 607 Shaver Ave, Syracuse, NY 13212 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Daniel E Litherland | 303 Hyland Dr, North Syracuse, NY 13212 | Licensed Practical Nurse | 2009-01-02 ~ 2009-09-30 |
| Ron Ashkenasy Do | 460 South Main St #77, North Syracuse, NY 13212 | Physician/surgeon | 2002-05-22 ~ 2003-03-31 |
| Jane Bickel | 319 E Taft Rd, No Syracuse, NY 13212 | Hairdresser/cosmetician | 2004-04-19 ~ 2006-04-30 |
| Sheila A Klementowski | 104 Palmer Ave, North Syracuse, NY 13212 | Licensed Practical Nurse | 1992-11-24 ~ 1993-07-31 |
| Find all Licenses in zip 13212 | |||
| City | SYRACUSE |
| Zip Code | 13212 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SYRACUSE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley R Cote | 77 Old Alfred Rd, Arundel, ME 04046-8736 | Physician Assistant | 2015-03-06 ~ 2015-09-30 |
| Alfred K Sloss | 965 Boston Road, Groton, MA 01450 | Physician Assistant | 2004-01-07 ~ 2004-10-31 |
| Alfred A Chicco | 111 College Road, Selden, NY 11784 | Physician Assistant | 2003-01-21 ~ 2004-03-31 |
| Alfred Jackson IIi | 2016 Elgin Street, Wilimington, DE 19808 | Physician Assistant | 1997-06-23 ~ 1998-08-31 |
| Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michael Suprenant Pa-c | 2 Eastview Dr, Simsbury, CT 06070-3010 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Michael L Zande Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Michael J. Tanguay | 308 Killingworth Rd, Higganum, CT 06441 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michael C Drury Pa C | 135 Harbor Ave, Bridgeport, CT 06605-3163 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michael A Evers | 15 Jenyfer Ct, Shelton, CT 06484 | Physician Assistant | 1995-11-22 ~ 1996-12-31 |
Please comment or provide details below to improve the information on ALFRED MICHAEL PA.
| 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).