NICHOLAS CONDULIS MD (Credential# 550539) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
NICHOLAS CONDULIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032940. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 6 Hillcrest Court, Old Saybrook, CT 06475. The current status is active.
| Licensee Name | NICHOLAS CONDULIS MD |
| Credential ID | 550539 |
| Credential Number | 1.032940 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Hillcrest Court Old Saybrook CT 06475 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-05-14 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164501 | CSP.0022291 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 6 HILLCREST COURT |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OLD SAYBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Minbae Kim | 5 Nicholas Dr, Kinnrlon, NJ 07405 | Physician/surgeon | 2017-01-18 ~ 2018-01-31 |
| Nicholas J Exarchou Md | Po Box 940, Binghampton, NY 13902-0940 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Nicholas Bastidas | 14 Murray St, New York, NY 10007 | Physician/surgeon | ~ |
| Nicholas H Post Md | 29 Tiffany Pl Apt 6h, Brooklyn, NY 11231-2999 | Physician/surgeon | 2008-11-12 ~ 2009-11-30 |
| Nicholas St John | 375 Ridge Rd, Wethersfield, CT 06109 | Physician/surgeon | 1994-03-14 ~ 1995-05-31 |
| Nicholas J Rohrhoff | 206 N Duke St Apt 117, Durham, NC 27701-2084 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Mary A Nicholas | 26 College St, Old Saybrook, CT 06475 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
| Nicholas Tsamparlis | 105 Old Orchard Rd, Rye Brook, NY 10573 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Nicholas A. Perry | 540 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Nicholas A. Bontempo | 31 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).