NICOLE K CAHALAN (Credential# 1667129) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
NICOLE K CAHALAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064093. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 77 Hall Rd Apt 301c, Sturbridge, MA 01566-1563. The current status is active.
| Licensee Name | NICOLE K CAHALAN |
| Credential ID | 1667129 |
| Credential Number | 1.064093 |
| Credential Type | Physician/Surgeon |
| Business Address |
77 Hall Rd Apt 301c Sturbridge MA 01566-1563 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-12 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1683241 | CSP.0072240 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-08-13 | 2019-08-13 - 2021-02-28 | ACTIVE |
| 1352258 | CSP.0062616 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1488374 | 1.057769-RES | Resident Physician | 2016-06-28 | 2016-06-28 - 2019-06-30 | INACTIVE |
| Street Address | 77 HALL RD APT 301C |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1563 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Maeve Condon | 49 Seneca Lane, Sturbridge, MA 01566 | Registered Nurse | 2020-06-17 ~ 2020-12-31 |
| Seth Ryan Southall | 90 Hall Rd, Stubridge, MA 01566 | Registered Nurse | 2018-12-03 ~ 2019-12-31 |
| David R Mcguill | 1 Adams Rd, Sturbridge, MA 01566 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Gracellen M Riel | 19 Vinton Rd, Sturbridge, MA 01566 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Dana R. Kroll | 163 Willow Ave, Sturbridge, MA 01566 | Hoisting Equipment Operator | 2020-05-20 ~ 2022-05-19 |
| Robert J Engell | 60 Fiske Hill Road, Sturbridge, MA 01566 | Nursing Home Administrator | 2020-06-01 ~ 2022-05-31 |
| Michelle A Fanion | 56 Fiske Hill Rd., Sturbridge, MA 01566 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Renee L Moynagh | P.o. Box 792, Sturbridge, MA 01566 | Tax Preparer/facilitator Permit | 2020-04-18 ~ 2022-04-30 |
| Christine L Carter | Coldwell Banker Residential Brokerage, Sturbridge, MA 01566 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Peter J Vamvilis | 178 Shepard Rd, Sturbridge, MA 01566 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 01566 | |||
| City | STURBRIDGE |
| Zip Code | 01566 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STURBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| Nicole L. Nemeth | 385 1st Ave Apt 16b, New York, NY 10010-4834 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Yvette Nicole Owens | 298 5th Ave Fl 7, New York, NY 10001-4522 | Physician/surgeon | ~ |
| Nicole G Burki | Unterdorfstr. 52a, Lausen, CH4415 | Physician/surgeon | 2004-11-08 ~ 2005-10-31 |
| Nicole Belkin | 450 E 63rd St Apt 6g, New York, NY 10065-7930 | Physician/surgeon | 2016-08-18 ~ 2017-03-31 |
| Nicole L Nadeau | 115 N Union St, Arlington, MA 02474-3629 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Nicole Silverstein Md | 111 Northington Dr, Avon, CT 06001-2373 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| April Nicole Foster | 701 5th Ave Ste 2300, Seattle, WA 98104-7041 | Physician/surgeon | ~ |
| Sara Nicole Reggie | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Nicole Marie Gill | 280 S Main St Ste 103, Cheshire, CT 06410-3112 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on NICOLE K CAHALAN.
| 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).