MAE MAE A.Y. MIRABELLI (Credential# 925308) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
MAE MAE A.Y. MIRABELLI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048739. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 83 Ely Way, Longmeadow, MA 01106-1867. The current status is active.
| Licensee Name | MAE MAE A.Y. MIRABELLI |
| Credential ID | 925308 |
| Credential Number | 1.048739 |
| Credential Type | Physician/Surgeon |
| Business Address |
83 Ely Way Longmeadow MA 01106-1867 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-24 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-08-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 942509 | CSP.0047895 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-16 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 83 ELY WAY |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1867 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mirabelli Oil Services · P J Mirabelli Enterprises Inc | 182 Day St, Newington, CT 06111-1208 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Vittorio Mirabelli | 276 Peacedale Street, Bristol, CT 06011-0412 | Physician/surgeon | 2008-06-09 ~ 2009-07-31 |
| Janet A Mirabelli | 195 Goff Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Anthony P Mirabelli | 19 Olson Pl, Higganum, CT 06441-4056 | Public Service Technician - Telephone | 2014-10-01 ~ 2015-09-30 |
| Peter K Mirabelli | 122 Sexton Street, New Britain, CT 06000 | Notary Public Appointment | 1969-07-01 ~ 1974-03-31 |
| Gregory J Mirabelli | 695 Talcottville Road 2h, Vernon, CT 06066 | Notary Public Appointment | 1996-06-12 ~ 2001-06-30 |
| Joseph Mirabelli · Structural Integrity | 12 Nashville Rd, Bethel, CT 06801-2533 | Home Improvement Contractor | 2020-04-21 ~ 2020-11-30 |
| Maria C Mirabelli | 195 Goff Road, Wethersfield, CT 06109 | Notary Public Appointment | 1985-05-08 ~ 1990-03-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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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).