NICOLE SOOKHAN MD (Credential# 563845) 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.
NICOLE SOOKHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046263. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 266 Farmingberry Drive, Marion, CT 06444. The current status is active.
| Licensee Name | NICOLE SOOKHAN MD |
| Credential ID | 563845 |
| Credential Number | 1.046263 |
| Credential Type | Physician/Surgeon |
| Business Address |
266 Farmingberry Drive Marion CT 06444 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-03-03 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 499601 | CSP.0043339 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-04-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 266 FARMINGBERRY DRIVE |
| City | MARION |
| State | CT |
| Zip Code | 06444 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Georgiann C Gallagher | 60 Farmingberry Drive, Marion, CT 06444 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Edward L Jamele Jr | 2772 Meriden Waterbury Road, Marion, CT 06444 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Manya E Vumback | Po Box 111, Marion, CT 06444 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Thomas Dellabitta | Po Box 8, Marion, CT 06444 | Notary Public Appointment | 2020-06-11 ~ 2025-06-30 |
| Nicholas Dainiak Jr | Po Box190, Marion, CT 06444 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Timothy A Gallagher | 60 Farmingberry Dr, Marion, CT 06444 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Carrie A Lutkus | P.o. Box 82, Marion, CT 06444 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| John A Romajas | 946 Marion Ave, Marion, CT 06444 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Jordan J Kiyak | 1347 Marion Avenue, Marion, CT 06444 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maribelle B Keezer | 73 Farmingberry Drive, Marion, CT 06444 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06444 | |||
| City | MARION |
| Zip Code | 06444 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MARION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 M Absar | 58 Lisa Ave, Plymouth, MA 02360-5016 | Physician/surgeon | ~ |
| 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 | ~ |
| Nicole L Nadeau | 115 N Union St, Arlington, MA 02474-3629 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Nicole Belkin | 450 E 63rd St Apt 6g, New York, NY 10065-7930 | Physician/surgeon | 2016-08-18 ~ 2017-03-31 |
| Nicole G Burki | Unterdorfstr. 52a, Lausen, CH4415 | Physician/surgeon | 2004-11-08 ~ 2005-10-31 |
| Jared M Martillotti | 127 Nicole Dr, South Glastonbury, CT 06073-3632 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole Cote | Forefront Dermatology, De Pere, WI 54115 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
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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).