WILLIAM S NICHOLSON (Credential# 741897) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.
WILLIAM S NICHOLSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000148. The credential type is physician assistant. The effective date is July 1, 2002. The expiration date is May 31, 2003. The business address is 232 Nersesian Rd, Hartwick, NY 13348. The current status is inactive.
| Licensee Name | WILLIAM S NICHOLSON |
| Credential ID | 741897 |
| Credential Number | 23.000148 |
| Credential Type | Physician Assistant |
| Business Address |
232 Nersesian Rd Hartwick NY 13348 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-01 |
| Effective Date | 2002-07-01 |
| Expiration Date | 2003-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 232 NERSESIAN RD |
| City | HARTWICK |
| State | NY |
| Zip Code | 13348 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shanna Latoya Gayle | 3509 State Highway 205, Hartwick, CT 13348 | Registered Nurse | 2019-12-20 ~ 2020-06-30 |
| City | HARTWICK |
| Zip Code | 13348 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HARTWICK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholson Ranch LLC | 4200 Napa Road, Sonoma, CA 95476 | Out of State Winery | 2014-08-13 ~ 2015-08-09 |
| William H Cullen IIi | 38 Zacks Way, Agawam, MA 01001-3246 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| William Avery Pa | 120 Clark St, Milford, CT 06460 | Physician Assistant | 2007-07-19 ~ 2008-08-31 |
| William B Gorsuch | 267 Melba St C-18, Milford, CT 06460 | Physician Assistant | 1997-08-25 ~ 1998-10-31 |
| William J Keys | 64 Atwood Rd, Middlebury, CT 06762 | Physician Assistant | 1999-06-28 ~ 2000-08-31 |
| William K. Shafto | 4 Flintlock Dr, Danbury, CT 06811 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| William G Broadhurst | 22 Crestview Dr, Brookfield, CT 06804-2414 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| William S King | 17 Tumblebrook Cir, Somers, CT 06071 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
| William Reed | 209 Knollwood Ave, Mamaroneck, NY 10543 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| William H Thorn | 12525 Fostoria Way, Gaithersburg, MD 20878 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on WILLIAM S NICHOLSON.
| 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).