NICOLLE M NICKLAS (Credential# 536736) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 14, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
NICOLLE M NICKLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045740. The credential type is controlled substance registration for practitioner. The effective date is July 14, 2009. The expiration date is February 28, 2011. The business address is 15642 Cobblestone Lake Pkwy, Apple Valley, MN 55124. The current status is inactive.
| Licensee Name | NICOLLE M NICKLAS |
| Credential ID | 536736 |
| Credential Number | CSP.0045740 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15642 Cobblestone Lake Pkwy Apple Valley MN 55124 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-07-14 |
| Effective Date | 2009-07-14 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 682281 | 12.004103 | Advanced Practice Registered Nurse | 2009-06-03 | 2009-06-03 - 2010-05-31 | INACTIVE |
| 592681 | 10.088679 | Registered Nurse | 2009-05-15 | 2009-05-15 - 2010-05-31 | PENDING |
| Street Address | 15642 Cobblestone Lake Pkwy |
| City | Apple Valley |
| State | MN |
| Zip Code | 55124 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Family Hub | 6470 129th St. W, Apple Valley, MN 55124 | Public Charity | 2019-12-17 ~ 2020-11-30 |
| Mary J Jensen | 13260 Hunnington Terrace, Apple Valley, MN 55124 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Stephanie Ponce Victorino | 6583 158th St West, Apple Valley, MN 55124 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| James R Penkivech | 6213 Falcon Rdge Trl, Apple Valley, MN 55124 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Sue Peffer | 15836, Apple Valley, MN 55124 | Physical Therapist | 2009-01-26 ~ 2010-03-31 |
| Barbara A Stendahl | 14049 Dunbar Ct, Apple Valley, MN 55124 | Registered Nurse | 2006-12-04 ~ 2008-01-31 |
| Donna M Simmons | 12856 Floral Ave, Apple Valley, MN 55124 | Registered Nurse | 1964-12-07 ~ 1965-11-30 |
| Anne L Endrizzi | 7020 145th St. W., Apple Valley, MN 55124 | Occupational Therapist | ~ 1999-07-31 |
| Maureen H Welsh | 8759 Highwood Way, Apple Valley, MN 55124 | Registered Nurse | 2007-10-01 ~ 2008-10-31 |
| Kathleen E Rovenko | 14587 Florissant Path Ste 226, Saint Paul, MN 55124-4426 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
| Find all Licenses in zip 55124 | |||
| City | Apple Valley |
| Zip Code | 55124 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Apple Valley |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicolle Yanis Ocasio Abrams | 20 York Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicolle Contracting LLC | 28 Madison Place, Stamford, CT 06902 | Home Improvement Contractor | 2006-08-21 ~ 2006-11-30 |
| Nicklas-schiavo Construction Services · All County Construction Services | 35 Upper Croton Ave, Ossining, NY 10562 | Home Improvement Contractor | ~ |
| Paul Nicolle Vieilles Vignes | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-05-23 ~ 2021-05-22 |
| Domaine Charly Nicolle Les Fourneaux | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-05-27 ~ 2019-05-26 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NICOLLE M NICKLAS.
| 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).