VANESSA C PACHOLSKI (Credential# 742918) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
VANESSA C PACHOLSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001169. The credential type is physician assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 1289 Enfield St, Enfield, CT 06082-4921. The current status is active.
Licensee Name | VANESSA C PACHOLSKI |
Credential ID | 742918 |
Credential Number | 23.001169 |
Credential Type | Physician Assistant |
Business Address |
1289 Enfield St Enfield CT 06082-4921 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2002-01-17 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2019-09-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
527074 | CSP.0045218 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-04-01 | 2015-03-01 - 2017-02-28 | INACTIVE |
870705 | 70.970026 | Emergency Medical Technician | 1996-12-01 | - 1998-12-31 | INACTIVE |
Street Address | 1289 ENFIELD ST |
City | ENFIELD |
State | CT |
Zip Code | 06082-4921 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael T Pacholski | 1289 Enfield St, Enfield, CT 06082-4921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeremy J Dugas | 1269 Enfield St, Enfield, CT 06082-4921 | Milk Examiner | 2011-01-20 ~ 2013-01-19 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06082 |
City | ENFIELD |
Zip Code | 06082 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + ENFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sierra L Pacholski Pa-c | 10 Windy Hill Rd, Coventry, CT 06238-3525 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Vanessa Fallica | 15 Ridgedale Ave, Farmingville, NY 11738 | Physician Assistant | ~ |
Vanessa L Barber | 48 Glen Ave, Stamford, CT 06906 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Vanessa Tania Damm | Orthoconnecticut, PC, Norwalk, CT 06851 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Vanessa Boccaccio Stockford | 23 Oakwood Dr, Gales Ferry, CT 06335-1630 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Vanessa R Frenette | 187 Lake St, Moosup, CT 06354-1912 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Vanessa A Polizzotto | 10 Amanda Ln, New Milford, CT 06776-3175 | Occupational Therapist Assistant | 2015-08-01 ~ 2017-07-31 |
Vanessa R Corbett | 10 Buckingham St, Naugatuck, CT 06770-2718 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
Vanessa Mann | 9 Brewster Rd, South Windsor, CT 06074-3042 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Vanessa Amom | 67 Springvale, Croton On Hudson, NY 10520 | Physical Therapist Assistant | 2000-05-12 ~ 2006-11-01 |
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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).