NICHOLAS ST JOHN (Credential# 538650) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 14, 1994. The license expiration date date is May 31, 1995. The license status is INACTIVE.
NICHOLAS ST JOHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006301. The credential type is physician/surgeon. The effective date is March 14, 1994. The expiration date is May 31, 1995. The business address is 375 Ridge Rd, Wethersfield, CT 06109. The current status is inactive.
Licensee Name | NICHOLAS ST JOHN |
Credential ID | 538650 |
Credential Number | 1.006301 |
Credential Type | Physician/Surgeon |
Business Address |
375 Ridge Rd Wethersfield CT 06109 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1949-11-28 |
Effective Date | 1994-03-14 |
Expiration Date | 1995-05-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
149441 | CSP.0000757 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-01-11 - 1995-02-01 | INACTIVE |
Street Address | 375 RIDGE RD |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WETHERSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas J Exarchou Md | Po Box 940, Binghampton, NY 13902-0940 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
Minbae Kim | 5 Nicholas Dr, Kinnrlon, NJ 07405 | Physician/surgeon | 2017-01-18 ~ 2018-01-31 |
Nicholas Bastidas | 14 Murray St, New York, NY 10007 | Physician/surgeon | ~ |
Nicholas G Stephani | Imaging On Call, Poughkeepsie, NY 12603 | Physician/surgeon | ~ |
Nicholas Tsamparlis | 105 Old Orchard Rd, Rye Brook, NY 10573 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Nicholas S Karter | 73 Rosemary Ln, Newington, CT 06111-1839 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Nicholas H Browning Md | 21 Wickford Pl, Madison, CT 06443-2072 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicholas J Rohrhoff | 206 N Duke St Apt 117, Durham, NC 27701-2084 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
Nicholas P Matarazzo | 323 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
Nicholas Roditis | 23-20 143rd St, Whitestone, NY 11357 | Physician/surgeon | 1993-02-25 ~ 1994-02-28 |
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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).