SYLVIA NICHOLIS
Controlled Substance Registration for Practitioner


Address: 958 S Main St, Middletown, CT 06457-5158

SYLVIA NICHOLIS (Credential# 1444413) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 25, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

SYLVIA NICHOLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066656. The credential type is controlled substance registration for practitioner. The effective date is August 25, 2017. The expiration date is February 28, 2019. The business address is 958 S Main St, Middletown, CT 06457-5158. The current status is inactive.

Basic Information

Licensee Name SYLVIA NICHOLIS
Credential ID 1444413
Credential Number CSP.0066656
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 958 S Main St
Middletown
CT 06457-5158
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Issue Date 2017-08-25
Effective Date 2017-08-25
Expiration Date 2019-02-28
Refresh Date 2019-09-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1488269 1.057685-RES Resident Physician 2017-06-26 2017-06-26 - 2018-02-05 INACTIVE

Office Location

Street Address 958 S MAIN ST
City MIDDLETOWN
State CT
Zip Code 06457-5158

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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Dataset Information

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).

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