ELENA NICOLA (Credential# 743562) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2010. The license expiration date date is October 31, 2011. The license status is INACTIVE.
ELENA NICOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001813. The credential type is physician assistant. The effective date is November 1, 2010. The expiration date is October 31, 2011. The business address is 8685 Rio San Diego Dr Apt 4415, San Diego, CA 92108-6561. The current status is inactive.
| Licensee Name | ELENA NICOLA |
| Credential ID | 743562 |
| Credential Number | 23.001813 |
| Credential Type | Physician Assistant |
| Business Address |
8685 Rio San Diego Dr Apt 4415 San Diego CA 92108-6561 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-09-18 |
| Effective Date | 2010-11-01 |
| Expiration Date | 2011-10-31 |
| Refresh Date | 2012-02-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 445954 | CSP.0039729 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-20 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 8685 RIO SAN DIEGO DR APT 4415 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-6561 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Essential Hme | 2831 Camino Del Rio S #110, San Diego, CA 92108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-03-05 ~ 2019-06-30 |
| Elite Medical Supply | 2667 Camirio Del Rio S #315, San Diego, CA 92108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-01-23 ~ 2019-06-30 |
| Hossein Samadi | 2810 Camino Del Rio, San Diego, CA 92108 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Ryan Michael Lennon | 7777 Westside Drive, San Diego, CA 92108 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Sarah Elizabeth Collins | 5080 Camino Del Arroyo Apt 150, San Diego, CA 92108 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Eric T Lehmkuhl | 3131 Camino Del Rio N Ste# 1080, San Diego, CA 92108 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Gina M Piroscafo | 6586 Friars Rd Apt 203, San Diego, CA 92108 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Ebony Gladys Fahie | 8685 Rio San Diego Drive #4444, San Diego, CA 92108 | Registered Nurse - Temporary | 2019-03-06 ~ 2019-07-04 |
| Avondale | 2020 Camino Del Rio North Ste205, San Diego, CA 92108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-09-06 ~ 2019-06-30 |
| Essential Medical Supplies | 2831 Camino Del Rio South #110, San Diego, CA 92108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2017-10-12 ~ 2018-06-30 |
| Find all Licenses in zip 92108 | |||
| City | SAN DIEGO |
| Zip Code | 92108 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SAN DIEGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hubert G Robin | 32 Elena Drive, Cortlandt Manor, NY 10567 | Physician Assistant | 2014-03-01 ~ 2015-02-28 |
| Elena Novakova Pa | 16 Glen Drive, South Salem, NY 10590 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Stephen P Nicola · Sandy Nicola Master Blaster | Po Box 339, Canterbury, CT 06331 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Nicola Nicola Fierravanti | 55 Orchard Street, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Christina M Di Nicola | 24 Kimberly Court, Wolcott, CT 06716 | Family Child Care Assistant | 1999-10-31 ~ 1999-10-31 |
| Elena E Patsera | 7h Mansion Woods Dr, Agawam, MA 01001-2392 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Elena R Tedeschi | 59 Alfred Drive, Colchester, CT 06415 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| David Ofori | 11 Elena Drive, Cortlandt Manor, NY 10567 | Physical Therapist Assistant | ~ |
| Nicola Yester & Co P C | 223 Eastern Boulevard, Glastonbury, CT 06033 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Elena J Grimes | 157 Fountain Street # E3, New Haven, CT 06515 | Family Child Care Assistant | 2011-01-07 ~ 2013-01-31 |
Please comment or provide details below to improve the information on ELENA NICOLA.
| 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).