MATTHEW F NICHOLS (Credential# 1085348) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MATTHEW F NICHOLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051299. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 270 Main St, Portland, CT 06480-1836. The current status is active.
| Licensee Name | MATTHEW F NICHOLS |
| Credential ID | 1085348 |
| Credential Number | 1.051299 |
| Credential Type | Physician/Surgeon |
| Business Address |
270 Main St Portland CT 06480-1836 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-08-08 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1159662 | CSP.0054575 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-05-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 270 MAIN ST |
| City | PORTLAND |
| State | CT |
| Zip Code | 06480-1836 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith Arcari | 270 Main St Ste B, Portland, CT 06480-1836 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Galladex Bd T85% I 9082 | 47 Lower Main St, Portland, CT 06480 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Suzanne S O'rourke | 35 Apple Tree Lane, Portland, CT 06480 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Gui Jiang | Sunny�s Nail&spa, Portland, CT 06480 | Nail Technician | 2020-06-26 ~ 2021-12-31 |
| Kevin R Johnson | 20 Mountain Laurel Way, Portland, CT 06480 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Aaron A Adams | 138 High Street, Portland, CT 06480 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Amanda R. Weinberger | 270 Main St. Suite A, Portland, CT 06480 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen L Cianci | 3 Myrtle Rd, Portland, CT 06480 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Joseph Bials | P.o. Box 546, Portland, CT 06480 | Sub-surface Sewage Installer | 2020-05-01 ~ 2021-04-30 |
| Olivia Jane Briggs | 6 Allen Street, Portland, CT 06480 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Donna M Dubay | 8 Penny Corner Road, Portland, CT 06480 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06480 | |||
| City | PORTLAND |
| Zip Code | 06480 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Markyia S Nichols | 9766 Foy Rd, Denton, MD 21629-3427 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Andrew A Nychka | 10 Nichols Rd., Armonk, NY 10504 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Susan Nichols | 312 Tanner Marsh Rd, Guilford, CT 06437-2104 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Kensley Nichols | 2215 Landover Pl, Lynchburg, VA 24501 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Guy E Nichols | 4355 Innlake Dr, Glen Allen, VA 23060 | Physician/surgeon | 2009-07-01 ~ 2010-07-31 |
| Michael Nichols | 15 Raponda Lake Road, Wilmington, VT 05363 | Physician/surgeon | 2003-12-03 ~ 2004-11-30 |
| Matthew J Dammeyer | Po Box 194, Benson, MN 56215-0194 | Physician/surgeon | ~ |
| Matthew Willett | 96 Mcintosh Dr, Portsmouth, RI 02871-1263 | Physician/surgeon | ~ |
| Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Matthew Bushey Md | 1 Self Ct, Wallingford, CT 06492-2595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).