NICHOLE R. LEWIS (Credential# 1081577) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
NICHOLE R. LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051462. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 1300 Midland Ave, Yonkers, NY 10704. The current status is active.
| Licensee Name | NICHOLE R. LEWIS |
| Credential ID | 1081577 |
| Credential Number | 1.051462 |
| Credential Type | Physician/Surgeon |
| Business Address |
1300 Midland Ave Yonkers NY 10704 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-11-02 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1185067 | CSP.0056130 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-09-17 | 2017-03-30 - 2019-02-28 | LAPSED |
| 446111 | CSP.0039788 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-25 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 1300 Midland ave |
| City | Yonkers |
| State | NY |
| Zip Code | 10704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ruby Beth Almeyda | 38 Teresa Ave, Yonkers, NY 10704 | Dental Hygienist | ~ |
| Alexi Diamond Rivera | 16 Gleeson Place, Yonkers, NY 10704 | Registered Nurse | ~ |
| Thomas E Haynes | 570 Yonkers Ave, Yonkers, NY 10704 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank Iaconetti Jr | 70 Stevens Ave, Yonkers, NY 10704 | Home Inspector | 2017-07-06 ~ 2019-06-30 |
| Therese Jo Zenkewich | 165 Florence Street, Yonkers, NY 10704 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Janet M Hall | 541 Bronxriver Road Apt# E12, Yonkers, NY 10704 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
| Lakicha Battle | 255 Bronx River Road Unit 4 K, Yonkers, NY 10704 | Notary Public Appointment | 2014-10-01 ~ 2019-09-30 |
| Michael Daniel Roman | 75 Ridgewood Avenue, Yonkers, NY 10704 | Tax Preparer/facilitator Permit | 2020-02-28 ~ 2022-02-28 |
| Raymond C Persaud | 641 Yonkers Ave, Yonkers, NY 10704 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Stephen Barone | 245 Winfred Avenue, Yonkers, NY 10704 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Find all Licenses in zip 10704 | |||
| City | Yonkers |
| Zip Code | 10704 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Yonkers |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Nichole Bellamy | 1735 Ella T Grasso Blvd, New Haven, CT 06511-1601 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nichole A Lewis | 48 Mount Parnassus Rd, East Haddam, CT 06423-1446 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Aurangzeb A Ali Md | 455 Lewis Ave Ste 216, Meriden, CT 06451 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ali Hemdan Md | 455 Lewis Ave., Meriden, CT 06451 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Amy B Lewis | 111 E 75th St Apt 3a, New York, NY 10021-2816 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Richard P Giosa | 455 Lewis Ave, Meriden, CT 06451 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Barbara S Lewis | 66 Beacon St #48, Boston, MA 02108 | Physician/surgeon | 1994-10-31 ~ 1995-10-31 |
| Valeria Kleshchelskaya | 190 Lewis St, Rahway, NJ 07065 | Physician/surgeon | 2009-06-19 ~ 2010-08-31 |
| Benjamas D Rattananai | 31 Lewis St Apt A, Hartford, CT 06103-2514 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Jacqueline M Lewis | P.o. Box 1833, New Rochelle, NY 10802 | Physician/surgeon | 2007-02-01 ~ 2008-01-31 |
Please comment or provide details below to improve the information on NICHOLE R. LEWIS.
| 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).