NICOLE M WILLIAMS (Credential# 744019) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.
NICOLE M WILLIAMS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002270. The credential type is physician assistant. The effective date is April 1, 2018. The expiration date is March 31, 2019. The business address is 13 Garden Terrace, Shelton, CT 06484. The current status is inactive.
Licensee Name | NICOLE M WILLIAMS |
Credential ID | 744019 |
Credential Number | 23.002270 |
Credential Type | Physician Assistant |
Business Address |
13 Garden Terrace Shelton CT 06484 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2009-06-30 |
Effective Date | 2018-04-01 |
Expiration Date | 2019-03-31 |
Refresh Date | 2019-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
995512 | CSP.0050043 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-05-05 | 2017-03-01 - 2019-02-28 | LAPSED |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole M Williams | 97 Christie Hill Rd, Darien, CT 06820-3229 | Emergency Medical Technician | 2015-01-30 ~ 2017-07-01 |
Street Address | 13 Garden Terrace |
City | Shelton |
State | CT |
Zip Code | 06484 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Find all Licenses in zip 06484 |
City | Shelton |
Zip Code | 06484 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Shelton |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole M Spataro | 427 Williams Rd, Wallingford, CT 06492-2690 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
Monica Nicole Williams | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
Nicole R Ciccia | 71 Joy Rd Apt C, Milford, CT 06460-6052 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Mia F Williams | 3 Old Oak Rd, Norwich, CT 06360-1500 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Nicole Ferrantelli | 59 Old Post Rd Apt F7, Clinton, CT 06413-1864 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
Nicole S Feagin | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Nicole M Esposito | 5 Lexington Ct, Shelton, CT 06484-5961 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Nicole D Greco Pa | 604 Tompkins Ave Apt B5, Mamaroneck, NY 10543-3729 | Physician Assistant | 2015-03-01 ~ 2016-02-29 |
Jaime A Camacho | 6 Nicole Ln, Burlington, CT 06013-2123 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
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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).