ANDREA M VIGNOGNA
Physical Therapist Assistant


Address: 21 Derussey Ln, Cornwall, NY 12518-1017

ANDREA M VIGNOGNA (Credential# 891766) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.

Business Overview

ANDREA M VIGNOGNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001074. The credential type is physical therapist assistant. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 21 Derussey Ln, Cornwall, NY 12518-1017. The current status is inactive.

Basic Information

Licensee Name ANDREA M VIGNOGNA
Credential ID 891766
Credential Number 63.001074
Credential Type Physical Therapist Assistant
Business Address 21 Derussey Ln
Cornwall
NY 12518-1017
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-08-17
Effective Date 2016-08-01
Expiration Date 2017-07-31
Refresh Date 2017-11-03

Office Location

Street Address 21 DERUSSEY LN
City CORNWALL
State NY
Zip Code 12518-1017

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Christine Thames 1 Oak Tree Drive, Cincinnati, OH 12518 Registered Nurse 2019-09-03 ~ 2020-09-30
Garry G Johnson 104 Willow Avenue, Cornwall, NY 12518 Acupuncturist 2019-04-01 ~ 2021-03-31
Jennifer A. Rivera 20 Patton Drive, Cornwall, NY 12518 Registered Nurse 2016-11-01 ~ 2017-10-31
Christiane L. Kubit Md 201 Willow Ave, Cornwall, NY 12518 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Erin B Otterbein · Marcel 1 Dyer Lane, Cornwall, NY 12518 Licensed Practical Nurse 2014-05-01 ~ 2015-04-30
Olga M Waters Pa-c 100 Beach St, Cornwall, NY 12518 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
John A Lagrutta 11 Deerfield Lane, Cornwall, NY 12518 Electrical Unlimited Contractor ~
William M Santoro P.o.box 224, Cornwall, NY 12518 Veterinarian 1997-07-21 ~ 1998-07-31
Marie E Donahue 129 Main St., Cornwall, NY 12518 Physical Therapist Assistant ~ 2006-11-01
Holly B Gigante 14 Sylcox Rd, Cornwall, NY 12518 Licensed Practical Nurse 2007-03-21 ~ 2007-12-31
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Competitor

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City CORNWALL
Zip Code 12518
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + CORNWALL

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Dataset Information

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).

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