NANETTE L TREADWELL PA
Physician Assistant


Address: Po Box 41, South Kortright, NY 13842

NANETTE L TREADWELL PA (Credential# 743557) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.

Business Overview

NANETTE L TREADWELL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001808. The credential type is physician assistant. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is Po Box 41, South Kortright, NY 13842. The current status is inactive.

Basic Information

Licensee Name NANETTE L TREADWELL PA
Credential ID 743557
Credential Number 23.001808
Credential Type Physician Assistant
Business Address Po Box 41
South Kortright
NY 13842
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-09-01
Effective Date 2012-08-01
Expiration Date 2013-07-31
Refresh Date 2013-11-06

Other licenses

ID Credential Code Credential Type Issue Term Status
447740 CSP.0040380 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-09-21 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address PO BOX 41
City SOUTH KORTRIGHT
State NY
Zip Code 13842

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Melania Bohdanowicz 3451 Betty Brook Road, South Kortright, NY 13842 Hairdresser/cosmetician 2006-05-03 ~ 2008-03-31
Lee R Marigliano 4694 Gun House Hill Rd, South Kortright, NY 13842-2345 Architect 2019-08-01 ~ 2020-07-31

Competitor

Search similar business entities

City SOUTH KORTRIGHT
Zip Code 13842
License Type Physician Assistant
License Type + County Physician Assistant + SOUTH KORTRIGHT

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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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