LAUREN H NICHOLS (Credential# 892975) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LAUREN H NICHOLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002300. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 23 Scenic View Dr, Deep River, CT 06417-1655. The current status is active.
| Licensee Name | LAUREN H NICHOLS |
| Credential ID | 892975 |
| Credential Number | 23.002300 |
| Credential Type | Physician Assistant |
| Business Address |
23 Scenic View Dr Deep River CT 06417-1655 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-08-27 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 981847 | CSP.0049547 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-01-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 23 SCENIC VIEW DR |
| City | DEEP RIVER |
| State | CT |
| Zip Code | 06417-1655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard H Smith | 23 Scenic View Dr, Deep River, CT 06417-1655 | Emergency Medical Responder | 2015-01-20 ~ 2018-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy L Babek · Gwinn | 5 Scenic View Dr, Deep River, CT 06417-1655 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon Tosetti | 64 Acorn Rd, Deep River, CT 06417 | Nail Technician | ~ |
| Robert R Lucero | 17 River Lane, Deep River, CT 06417 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joel V Nucci | 119 Union Street, Deep River, CT 06417 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Jean-luc Poulard | 157 Main St, Apt.k, Deep River, CT 06417 | Master's Level Social Worker | ~ |
| Celebrations | 161 Main Stret, Deep River, CT 06417 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary E Charlton | 37 Laurel Wood Drive, Deep River, CT 06417 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Anthony Robert Caramanica | 72 Witch Hazel Drive, Deep River, CT 06417 | Notary Public Appointment | ~ |
| Essex Steam Train & Riverboat | River St, Deep River, CT 06417 | Boat Liquor | 2020-05-19 ~ 2021-09-18 |
| Danielle Leigh Hunter | 49 Kirtland Street, Deep River, CT 06417 | Esthetician | ~ |
| Tina C Gilbert | 6 Winter Ave Ste B, Deep River, CT 06417 | Nail Technician | ~ |
| Find all Licenses in zip 06417 | |||
| City | DEEP RIVER |
| Zip Code | 06417 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + DEEP RIVER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rogelio Carrasco | 8519 Nichols Rim, Boerne, TX 78015-5009 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
| Lauren V. Boggs | 45 Ley St, New Haven, CT 06512-3921 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Lauren Kess | 105 Winterberry Way, Torrington, CT 06790-2595 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lauren C Schmidtberg | 282 Washington St, Hartford, CT 06106-3322 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Lauren C Frank | 103 Evergreen Ter, Colchester, CT 06415-1515 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Lauren K Wintman | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lauren Sloss | 12 Douglas Dr, Cumberland, RI 02864-1519 | Physician Assistant | 2018-07-02 ~ 2019-06-30 |
| Lauren M Cohen | 282 Washington St, Hartford, CT 06106 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lauren Johnson | 9356 Nw 8th Circle, Plantation, FL 33324 | Physician Assistant | ~ |
| Lauren A Palmer Pa | 52 Goshen Rd Apt A, Waterford, CT 06385-3745 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on LAUREN H NICHOLS.
| 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).