VINCENT GANDOLFO (Credential# 743954) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.
VINCENT GANDOLFO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002205. The credential type is physician assistant. The effective date is June 1, 2017. The expiration date is May 31, 2018. The business address is 11 Harbor Hill Dr, Huntington, NY 11743-1030. The current status is inactive.
| Licensee Name | VINCENT GANDOLFO |
| Credential ID | 743954 |
| Credential Number | 23.002205 |
| Credential Type | Physician Assistant |
| Business Address |
11 Harbor Hill Dr Huntington NY 11743-1030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-11-07 |
| Effective Date | 2017-06-01 |
| Expiration Date | 2018-05-31 |
| Refresh Date | 2018-09-03 |
| Street Address | 11 HARBOR HILL DR |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-1030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 4929 Tuckaseegee, LLC | 181 Main St, Ste 100, Huntington, NY 11743 | Securities - Exemptions | 2020-06-02 ~ |
| American Childrens Cancer Foundation Inc | 223 Wall Street Ste 369, Huntington, NY 11743 | Public Charity | 2018-12-04 ~ 2019-11-30 |
| Vedan Djesevic | 146 Cuba Hill Road, Huntington, NY 11743 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dhara Desai | 58 Pleasant St, Huntington, NY 11743 | Physical Therapist | 2020-03-05 ~ 2020-07-31 |
| Charles H Jarmon | 7 Margo Ln, Huntington, NY 11743 | Paramedic | 2020-04-01 ~ 2021-03-31 |
| John Bernard Lentinello | 14 Royal Oak Drive, Huntington, NY 11743 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Andrea R Carlsen | 75 Prospect St, Suite 105, Huntington, NY 11743 | Physician/surgeon | ~ |
| Ralph D Csogi | 48 Bunkerhill Dr, Huntington, NY 11743 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Paul M Skelton | 7 Downey Dr, Huntington, NY 11743 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Shavawn M Lockhart | 1 Wesley Court, Huntington, NY 11743 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11743 | |||
| City | HUNTINGTON |
| Zip Code | 11743 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HUNTINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gandolfo Sweeper Service Inc | 166 South Shore Rd, Salisbury, CT 06068 | New Home Construction Contractor | 2007-10-01 ~ 2009-09-30 |
| Ashley Vacaro | 26 Vincent St, West Hartford, CT 06119-1529 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Richard D Moro Pa | 43 James Vincent Dr, Clinton, CT 06413-1258 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Vincent Alvaro Pa | 48 Blue Ridge Dr, Somers, CT 06071 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Jessica L Paulson | 39 James Vincent Drive, Clinton, CT 06413-1340 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Eve A Gandolfo | Po Box 5000 Ms80, Ogdensburg, NY 13669-5000 | Physical Therapist | ~ |
| Nancy C Gandolfo | P.o Box 306, Lakeville, CT 06039 | Dietitian/nutritionist | 2020-05-01 ~ 2021-04-30 |
| Anthony C Gandolfo | 52 Skyview Dr, Berlin, CT 06037 | Professional Engineer | 1998-02-01 ~ 1999-01-31 |
Please comment or provide details below to improve the information on VINCENT GANDOLFO.
| 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).