JOLENE M PIAZZA PA-C (Credential# 886812) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2010. The license expiration date date is May 31, 2011. The license status is INACTIVE.
JOLENE M PIAZZA PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002330. The credential type is physician assistant. The effective date is June 1, 2010. The expiration date is May 31, 2011. The business address is 2893 Sw 22nd Cir # 46-c, Delray Beach, FL 33445-7856. The current status is inactive.
Licensee Name | JOLENE M PIAZZA PA-C |
Credential ID | 886812 |
Credential Number | 23.002330 |
Credential Type | Physician Assistant |
Business Address |
2893 Sw 22nd Cir # 46-c Delray Beach FL 33445-7856 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2009-09-30 |
Effective Date | 2010-06-01 |
Expiration Date | 2011-05-31 |
Refresh Date | 2011-09-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
901505 | CSP.0046905 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-12-29 | 2009-12-29 - 2011-02-28 | INACTIVE |
Street Address | 2893 SW 22nd Cir # 46-C |
City | DELRAY BEACH |
State | FL |
Zip Code | 33445-7856 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tajae Stringer | 500 N Congress Ave, Delray Beach, FL 33445 | Master's Level Social Worker | ~ |
Sara Barni | 1850 Homewood Blvd, Apt 216, Delray Beach, FL 33445 | Registered Nurse | 2020-06-02 ~ 2021-01-31 |
Jeannine Cleaver | 2701 Sw 13th St, Delray Beach, FL 33445 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Carissa Marie Raver | 3111 Lake Ida Rd, Delray Beach, FL 33445 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Edward Greenhouse | 2062 Valencia Dr, Delray Beach, FL 33445 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Howard Rosenbluth | 3710 Red Maple Circle, Delray Beach, FL 33445 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Elliott J Kerzner | 1571 Nw 20th Avenue, Apt 204, Delray Beach, FL 33445 | Notary Public Appointment | 2018-03-01 ~ 2023-02-28 |
Mary D Lemay | 4515 Nw 3rd St., Delray Beach, FL 33445 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
Timothy John Cerruti | 1300 Nw 17th Ave, Delray Beach, FL 33445 | Home Improvement Salesperson | 2007-08-09 ~ 2007-11-30 |
Elizabeth T Johnson | 494 S W 28th Ave, Delray Beach, FL 33445 | Real Estate Salesperson | 1998-06-12 ~ 1999-05-31 |
Find all Licenses in zip 33445 |
City | DELRAY BEACH |
Zip Code | 33445 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + DELRAY BEACH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dianna M Piazza | 67 Chamberlain Dr, Huntington, CT 06484 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
La Piazza · Lapiazza LLC/frank Coczza | 25 Center St, Southington, CT 06489 | Bakery | 2003-07-01 ~ 2004-06-30 |
Christine A Piazza · Piazza | 159 Smith St, Groton, CT 06340-4026 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
La Piazza | 907 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2009-08-03 ~ 2010-06-30 |
Michael K Piazza · Mike Piazza Home Improvements | 25 School St, Monroe, CT 06468 | Home Improvement Contractor | ~ |
Gary A Mayette · La Piazza Ristorante | 25 Center Street, Southington, CT 06489 | Restaurant Liquor | 2002-04-05 ~ 2003-04-04 |
Patricia M Piazza · Piazza | 1089 Wolcott Road, Wolcott, CT 06716 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Piazza Brothers Inc | 420 Columbus Ave Ste 101, Valhalla, NY 10595 | Major Contractor | 2009-07-01 ~ 2010-06-30 |
Paul A Piazza | 4624 Bay To Bay Ave, Tampa, FL 33629 | Physician/surgeon | 1994-07-28 ~ 1995-07-31 |
Apizza Piazza | 25 Center St, Southington, CT 06489 | Bakery | 1997-07-01 ~ 1998-06-30 |
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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).