NICOLE M PILLSBURY (Credential# 1180773) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2017. The license expiration date date is March 31, 2018. The license status is INACTIVE.
NICOLE M PILLSBURY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002999. The credential type is physician assistant. The effective date is April 1, 2017. The expiration date is March 31, 2018. The business address is 102 Wallace Hill Rd, Townsend, MA 01469-1109. The current status is inactive.
| Licensee Name | NICOLE M PILLSBURY |
| Credential ID | 1180773 |
| Credential Number | 23.002999 |
| Credential Type | Physician Assistant |
| Business Address |
102 Wallace Hill Rd Townsend MA 01469-1109 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-10-01 |
| Effective Date | 2017-04-01 |
| Expiration Date | 2018-03-31 |
| Refresh Date | 2018-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1187679 | CSP.0056227 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-10-15 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 102 WALLACE HILL RD |
| City | TOWNSEND |
| State | MA |
| Zip Code | 01469-1109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally Ann Koivu | 178 Wallace Hill Rd, Townsend, MA 01469-1109 | Registered Nurse | 2020-04-03 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony J Wespiser | 4 Granite Road, Townsend, MA 01469 | Professional Engineer | 2019-10-16 ~ 2020-01-31 |
| Andrew D White | 2 Ponderosa Drive, Townsend, MA 01469 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Nicholas E Thalheimer | 33 Turnpike Road, Townsend, MA 01469 | Notary Public Appointment | 2006-05-24 ~ 2011-05-31 |
| Nicholas D Gamache | 17 Shirley Rd, Townsend, MA 01469 | Electrical Limited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Marcel O Falardeau | 39 Blood Rd., Townsend, MA 01469 | Crane Operator | 1989-03-28 ~ 1991-03-27 |
| Barbara L Sherritt | 33 Emery Rd., Townsend, MA 01469 | Radiographer | 2010-10-01 ~ 2011-09-30 |
| Sondra T Gourdeau | 10 Shirley Rd, Townsend, MA 01469 | Dental Hygienist | 1992-01-23 ~ 1992-12-31 |
| Mary E Kennedy | 80 Highland Street, Townsend, MA 01469 | Registered Nurse | 1999-10-25 ~ 2000-11-30 |
| Shaun M Indeglia | 8 Fordway Rd, Townsend, MA 01469 | Electrical Limited Journeyperson | ~ |
| Martin T Coppinger | 90 S Harbor Rd, Townsend, MA 01469 | Electrical Limited Contractor | ~ |
| Find all Licenses in zip 01469 | |||
| City | TOWNSEND |
| Zip Code | 01469 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + TOWNSEND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pillsbury Company (the) · Robert Wooden Director | 2089 Pillsbury Dr, Geneva, IL 60134 | Bakery | 2001-07-01 ~ 2002-06-30 |
| Pillsbury Co | Amboy Ave, Woodbridge, NJ 07095 | Frozen Dessert Wholesaler | 1999-01-05 ~ 1999-12-31 |
| Pillsbury Co (the) | 2403 South Pennsylvania Ave, Wellston, OH 45692 | Bakery | 2002-07-01 ~ 2003-06-30 |
| Pillsbury Co (the) | 11800 Nw 102 Road Ste 6, Medley, FL 33178 | Bakery | 2001-09-12 ~ 2002-06-30 |
| Pillsbury Co (the) | 365 Beachman St, Chelsea, MA 02150 | Bakery | 2006-07-01 ~ 2007-06-30 |
| Laurel Garrett | 30 Pillsbury Hl, Vernon, CT 06066-3536 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Nicole R Ciccia | 71 Joy Rd Apt C, Milford, CT 06460-6052 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
| Jaime A Camacho | 6 Nicole Ln, Burlington, CT 06013-2123 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Nicole Ferrantelli | 59 Old Post Rd Apt F7, Clinton, CT 06413-1864 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
Please comment or provide details below to improve the information on NICOLE M PILLSBURY.
| 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).