AMANDA NESIS
Physician Assistant


Address: 214 Farms Road, Brewster, NY 10509

AMANDA NESIS (Credential# 742766) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 17, 2003. The license expiration date date is May 31, 2004. The license status is INACTIVE.

Business Overview

AMANDA NESIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001017. The credential type is physician assistant. The effective date is March 17, 2003. The expiration date is May 31, 2004. The business address is 214 Farms Road, Brewster, NY 10509. The current status is inactive.

Basic Information

Licensee Name AMANDA NESIS
Credential ID 742766
Credential Number 23.001017
Credential Type Physician Assistant
Business Address 214 Farms Road
Brewster
NY 10509
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-11-17
Effective Date 2003-03-17
Expiration Date 2004-05-31
Refresh Date 2009-07-08

Office Location

Street Address 214 Farms Road
City BREWSTER
State NY
Zip Code 10509

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Wendy Darleny Vasquez Ramirez 2567 Carmel Ave, Brewster, NY 10509 Nail Technician ~
Scott Reed Dakin 3 Salmons Hollow Road, Brewster, NY 10509 Architect 2020-08-01 ~ 2021-07-31
Nicola Shelbourne 153 Farm To Market Road, Brewster, NY 10509 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Taylor Jendras 391 Gage Road, Brewster, NY 10509 Registered Nurse 2020-08-01 ~ 2021-07-31
Caroline Margaret Bedard 601 Seven Field Lane, Brewster, NY 10509 Esthetician ~
Lorraine Salavec 22 Windswept Circle, Brewster, NY 10509 Registered Nurse 2020-07-01 ~ 2021-06-30
Katelyn M Healy 2 Wilson Road, Brewster, NY 10509 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Mary Ann Stabe 105 Bentley Ct, Brewster, NY 10509 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Paul Wasserman 88 Lakeview Drive, Brewster, NY 10509 Physical Therapist 2020-07-01 ~ 2021-06-30
Rosemarie C Butti 21 Peach Brook Lane, Brewster, NY 10509 Speech and Language Pathologist 2020-08-01 ~ 2021-07-31
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Competitor

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City BREWSTER
Zip Code 10509
License Type Physician Assistant
License Type + County Physician Assistant + BREWSTER

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Dataset Information

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).

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