EILEEN M TICHY (Credential# 742791) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
EILEEN M TICHY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001042. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 155 Talcott Rd, Guilford, CT 06437-5001. The current status is active.
| Licensee Name | EILEEN M TICHY |
| Credential ID | 742791 |
| Credential Number | 23.001042 |
| Credential Type | Physician Assistant |
| Business Address |
155 Talcott Rd Guilford CT 06437-5001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-12-08 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 984256 | CSP.0049612 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-02-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 288297 | CSP.0031470 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE | |
| 986256 | 59 | Dietitian/Nutritionist | - | PENDING |
| Street Address | 155 TALCOTT RD |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-5001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas E Tichy | 155 Talcott Rd, Guilford, CT 06437 | Paramedic | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gurukrupa Investments LLC | 131 Talcott Rd, Guilford, CT 06437-5001 | New Home Construction Contractor | 2019-11-12 ~ 2021-09-30 |
| Robert Mangino | 131 Talcott Rd, Guilford, CT 06437-5001 | Architect | 2019-08-09 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eileen J Dorney | 146 Edgewood Rd, Fairfield, CT 06825 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Eileen L Torello | 424 Williams Rd, Wallingford, CT 06492-2630 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Eileen K Mccormick | 137 Ingalls Rd, Cheshire, MA 01225-9731 | Physical Therapist Assistant | 2015-02-01 ~ 2016-01-31 |
| Eileen A O'connor | 67 Thompson Street, Hamden, CT 06518 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Eileen R Terlecki | 395 Wall St, Hebron, CT 06248-1355 | Family Child Care Assistant | 2014-09-04 ~ 2016-09-30 |
| Erin Eileen Crowley | 115 A Bayview St, West Yarmouth, MA 02673 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Eileen J Hamilton | 6 Druid Street, Windsor Locks, CT 06096 | Occupational Therapist Assistant | 1999-07-26 ~ 2001-07-31 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
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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).