ERICK MARCUS HENRY (Credential# 1351115) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ERICK MARCUS HENRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003742. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 40 Sunnieside Drive, Niantic, CT 06357. The current status is active.
| Licensee Name | ERICK MARCUS HENRY |
| Credential ID | 1351115 |
| Credential Number | 23.003742 |
| Credential Type | Physician Assistant |
| Business Address |
40 Sunnieside Drive Niantic CT 06357 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-23 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1390939 | CSP.0064400 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 839978 | 70.000241 | Emergency Medical Technician | 2000-03-17 | 2000-03-17 - 2001-12-31 | INACTIVE |
| Street Address | 40 Sunnieside Drive |
| City | Niantic |
| State | CT |
| Zip Code | 06357 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | Niantic |
| Zip Code | 06357 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Niantic |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcus Henry Harding | 68 Spring Street, Hopkinton, MA 01748 | Physician/surgeon | 2019-10-23 ~ 2020-10-31 |
| Richard S Marcus | 10 Burwell Rd, New Hartford, CT 06057-4110 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Carol F Fiore | 524 Henry St., Brooklyn, NY 11231-2855 | Physician Assistant | 2019-05-01 ~ 2020-04-30 |
| Henry W Stoll | 275-b Commercial Street, Whitman, MA 02382 | Physician Assistant | 2002-06-21 ~ 2003-08-31 |
| Henry Joseph Casagrande | 172 Longview Dr, Longmeadow, MA 01106-1851 | Physician Assistant | 2019-09-27 ~ 2020-05-31 |
| Margarita Kolitsas | 26 William Henry Dr, Monroe, CT 06468-2514 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Melida Bello | 4601 Henry Hudson Parkway West, Riverdale, NY 10471 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Erick J Burney | 296 Sickles Ave, New Rochelle, NY 10801-3717 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Marcus S Hendricks · Marcus Paints Etc | 213 Liberty Square Apt 1, East Norwalk, CT 06855 | Home Improvement Contractor | 1995-11-16 ~ 1996-11-30 |
| Marcus Campbell | 9 Jack Henry Drive, Windham, CT 06280 | Notary Public Appointment | 2019-04-01 ~ 2024-03-31 |
Please comment or provide details below to improve the information on ERICK MARCUS HENRY.
| 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).