CARL W NISSEN MD (Credential# 551212) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CARL W NISSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033613. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 35 Mountain Spring Rd, Farmington, CT 06032. The current status is active.
| Licensee Name | CARL W NISSEN MD |
| Credential ID | 551212 |
| Credential Number | 1.033613 |
| Credential Type | Physician/Surgeon |
| Business Address |
35 Mountain Spring Rd Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-03-25 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 170247 | CSP.0024213 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 35 Mountain Spring Rd |
| City | Farmington |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | Farmington |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline S Nissen | 263 Farmington Ave # Mc1921, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| J J Nissen Baking Co Inc | 817 Dexter Street, Central Fall, RI 02863 | Bakery | 1998-07-01 ~ 1999-06-30 |
| John J Nissen Baking Co | 59 Washington Avenue, Portland, ME 04104 | Bakery | 1998-07-01 ~ 1999-06-30 |
| John J Nissen Baking Co Inc | 75 Quinsigamond Ave, Worcester, MA 06610 | Bakery | 1997-07-01 ~ 1998-06-30 |
| John J Nissen Baking Co | 34 Abbot St, Brewer, ME 04412 | Bakery | ~ |
| Carl Ramsay | 530 E.85th St, New York, NY 10028 | Physician/surgeon | ~ |
| Carl W Lindquist | P.o. Box 23, Chaplin, CT 06235-0023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carl W Carlson | P.o. Box 513, Bristol, NH 03222 | Physician/surgeon | 1996-09-09 ~ 1997-09-30 |
| Carl C Chi | 22 Goodrich Ln, Portland, CT 06480-1063 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carl Ira Schoenberger | 955 Mix Ave Apt 1j, Hamden, CT 06514-5126 | Physician/surgeon | 1977-07-01 ~ 1982-09-30 |
Please comment or provide details below to improve the information on CARL W NISSEN MD.
| 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).