NICOLE M MATTILA (Credential# 1330218) is licensed (Genetic Counselor) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
NICOLE M MATTILA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #GC.000067. The credential type is genetic counselor. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 3190 Harbor Winds Dr, Suamico, WI 54173-8177. The current status is active.
| Licensee Name | NICOLE M MATTILA |
| Credential ID | 1330218 |
| Credential Number | GC.000067 |
| Credential Type | Genetic Counselor |
| Business Address |
3190 Harbor Winds Dr Suamico WI 54173-8177 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-04-19 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| Street Address | 3190 HARBOR WINDS DR |
| City | SUAMICO |
| State | WI |
| Zip Code | 54173-8177 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael P Romes | 2441 Crown Pointe Boulevard, Suamico, WI 54173 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Aliece A Kerscher | 1115 Bay Breeze Ct, Suamico, WI 54173-8176 | Registered Nurse - Temporary | 2020-04-09 ~ 2020-08-07 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connie F Johnson | 2107 Weston Way, Suamico, WI 54313-3702 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Bernard M Schenkelberg | 3309 Spur Ln, Suamico, WI 54313-8725 | Architect | 2015-08-24 ~ 2016-07-31 |
| City | SUAMICO |
| Zip Code | 54173 |
| License Type | Genetic Counselor |
| License Type + County | Genetic Counselor + SUAMICO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Ann Truitt | 124 Linden Ave, Rutledge, PA 19070-1801 | Genetic Counselor | 2020-08-01 ~ 2021-07-31 |
| Cassandra Nicole Polun | 3301 Blue Grouse Dr, Columbia, MO 65202 | Genetic Counselor | 2019-10-01 ~ 2020-09-30 |
| Amanda Nicole Miller | 2115 Kensington Blvd, Fort Wayne, IN 46805 | Genetic Counselor | 2020-01-01 ~ 2020-12-31 |
| Ashley Nicole Reeves | 1315 Indian Lake Road, Oxford, MI 48371 | Genetic Counselor | 2020-04-01 ~ 2021-03-31 |
| Dana Falcone | 201 Industrial Rd, San Carlos, CA 94070-2396 | Genetic Counselor | ~ |
| Susan R Capasso | 282 N Elm St, Wallingford, CT 06492-3232 | Genetic Counselor | 2019-10-01 ~ 2020-09-30 |
| Elizabeth Ann Popkowski | 75 Claremont Rd Ste 308, Bernardsville, NJ 07924-2271 | Genetic Counselor | ~ |
| Amy R Stettner | 6803 Cooper Ave, Middleton, WI 53562-3272 | Genetic Counselor | ~ |
| Stephanie C Laniewski | 180 Kimball Pl, San Francisco, CA 94109-4007 | Genetic Counselor | ~ |
| Erin M Armenti | 3 Regent St, Livingston, NJ 07039-1668 | Genetic Counselor | ~ |
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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).