KATHERINE M NICHOLS (Credential# 1246178) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KATHERINE M NICHOLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.005939. The credential type is advanced practice registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 2590 Gold Star Hwy, #112, Mystic, CT 06355-1177. The current status is active.
| Licensee Name | KATHERINE M NICHOLS |
| Credential ID | 1246178 |
| Credential Number | 12.005939 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
2590 Gold Star Hwy, #112 Mystic CT 06355-1177 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-10-02 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1246177 | 10.122500 | Registered Nurse | 2014-10-02 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 1248764 | CSP.0058829 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-10-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1247620 | 10.122304-TEMP | Registered Nurse - Temporary | 2014-09-26 | 2014-09-26 - 2015-01-23 | INACTIVE |
| Street Address | 2590 GOLD STAR HWY, #112 |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-1177 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine A Hinic | 37 Woodmont Dr, Randolph, NJ 07869-3737 | Advanced Practice Registered Nurse | 2011-02-01 ~ 2012-01-31 |
| Katherine R Dugan | 6 Lyons Ln, Whitman, MA 02382-1513 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Katherine K Vitale | 28 Sawmill Ln, Greenwich, CT 06830-4029 | Advanced Practice Registered Nurse | 2019-12-18 ~ 2020-11-30 |
| Katherine S Griffith | 19 Fairfield Ave, Darien, CT 06820-4214 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Katherine M Polihrom | 17 Whitethorn Dr, Guilford, CT 06437-1705 | Advanced Practice Registered Nurse | 2014-10-07 ~ 2015-06-30 |
| Katherine A Dubay | 1097 Leahy Rd, Monterey, CA 93940-7448 | Advanced Practice Registered Nurse | 2009-03-10 ~ 2010-03-31 |
| Katherine B Glover | 2025 Commonwealth Ave Unit 7, Brighton, MA 02135-5180 | Advanced Practice Registered Nurse | ~ |
| Katherine J Franko Filipasic | 451 Main St Apt 24, Northport, NY 11768-1718 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Katherine O Thomsen | 30 Old Tannery Ln, Rocky Hill, CT 06067 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Katherine Presley Rutland | 95 Mansfield St, New Haven, CT 06511-3513 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHERINE M NICHOLS.
| 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).