LAWRENCE A CICCHIELLO (Credential# 909095) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LAWRENCE A CICCHIELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048612. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 185 Rykowski Ln Ste 101, Middletown, NY 10941-4055. The current status is active.
| Licensee Name | LAWRENCE A CICCHIELLO |
| Credential ID | 909095 |
| Credential Number | 1.048612 |
| Credential Type | Physician/Surgeon |
| Business Address |
185 Rykowski Ln Ste 101 Middletown NY 10941-4055 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446133 | CSP.0039809 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-13 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 185 RYKOWSKI LN STE 101 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-4055 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle Grace Sylvester | 15 Fortune Rd W, Middletown, NY 10941 | Licensed Clinical Social Worker | 2020-06-03 ~ 2020-10-31 |
| Mdinr LLC | 45 Turner Dr, Middletown, NY 10941 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Tashica Brown | 3 Scott Drive, Middletown, NY 10941 | Registered Nurse | ~ |
| Debra Mayers | 31 Connors Road, Middletown, NY 10941 | Registered Nurse | 2020-03-04 ~ 2020-09-30 |
| Zsolt Aziz-antal | 13 Alberta Drive, Scotchtown, NY 10941 | Notary Public Appointment | 2001-11-02 ~ 2006-11-30 |
| Alexis Dickover | 27 Milo Dr, Middletown, NY 10941 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Caroline Elizabeth Stockert | 334 Sherwood Drive North, Middletown, NY 10941 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Jaime C Lloyd | 43 Last Rd, Middletown, NY 10941 | Registered Nurse | 2015-04-16 ~ 2016-01-31 |
| Maria Noa-levito Aprn | 3 Baldwin Hill Road, Middletown, NY 10941 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gary F Sable | 127 Hufcut Rd, Middletown, NY 10941 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Find all Licenses in zip 10941 | |||
| City | MIDDLETOWN |
| Zip Code | 10941 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Cicchiello · John Cicchiello Painting | 239 Rte 66, Columbia, CT 06237 | Home Improvement Contractor | 2006-12-18 ~ 2007-11-30 |
| Yuk M Law | 253 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1993-11-30 ~ 1994-12-31 |
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Lawrence M Brass Md | 33 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2005-03-14 ~ 2006-04-30 |
| Lawrence Reed | 45 E 85 St, New York, NY 10028 | Physician/surgeon | 1999-02-18 ~ 2000-03-31 |
| Lawrence N Deweil Do | 38 3rd St, Brooklyn, NY 11231-4852 | Physician/surgeon | 2008-11-17 ~ 2009-09-30 |
| Lawrence L Kerns | 124 N Harrisson, Barrington, IL 60010 | Physician/surgeon | ~ |
| Ole Vielemeyer | 70 Lawrence Ave Apt #8, New Haven, CT 06511 | Physician/surgeon | 2003-06-03 ~ 2004-05-31 |
| Lawrence G Lareau | 900 4th Ave, Warren, PA 16365-1888 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Erik Goluboff | 31 Lawrence Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
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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).