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.
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.
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 |
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 |
Street Address | PO BOX 41 |
City | SOUTH KORTRIGHT |
State | NY |
Zip Code | 13842 |
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 |
City | SOUTH KORTRIGHT |
Zip Code | 13842 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + SOUTH KORTRIGHT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jon M Onosaki | 48 Treadwell Street, Hamden, CT 06517 | Physician Assistant | 2008-03-14 ~ 2008-10-31 |
Heather Kathleen Williams | 57 Treadwell Ave, Thomaston, CT 06787-1319 | Occupational Therapist Assistant | 2019-07-30 ~ 2021-07-31 |
380 Treadwell LLC | 900 Broad Ave South #2-c, Naples, FL 34102 | New Home Construction Contractor | 2005-10-01 ~ 2007-09-30 |
Peter Mould · The Cellar At Treadwell | 295 Treadwell St, Hamden, CT 06514-4140 | Cafe Liquor | 2019-05-23 ~ 2020-09-22 |
Nanette Silverberg | 140 Riverside Boulevard, Apt 703, Brooklyn, NY 10069 | Physician/surgeon | ~ |
Melissa Lanza | 235 Treadwell Street, Hamden, CT 06517 | Family Child Care Assistant | 2008-07-31 ~ 2010-07-31 |
Treadwell Avenue LLC | 1141 Post Rd East, Westport, CT 06880 | New Home Construction Contractor | 2005-06-28 ~ 2005-09-30 |
Treadwell & Rollo Inc | Suite 1300, San Francisco, CA 94111 | Professional Engineering Corporation | 1995-10-18 ~ 1996-10-18 |
Gregory Jay Pomper Md | 155 Treadwell St, Hamden, CT 06517 | Physician/surgeon | 2001-05-18 ~ 2002-05-31 |
Justin Kuether | 139 Treadwell St, Hamden, CT 06517-2342 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).