NICKIE MATHEW (Credential# 1150168) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 22, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
NICKIE MATHEW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054238. The credential type is controlled substance registration for practitioner. The effective date is February 22, 2013. The expiration date is February 28, 2015. The business address is 110 Spring Meadow Dr Apt 14, Williamsville, NY 14221-8423. The current status is inactive.
| Licensee Name | NICKIE MATHEW |
| Credential ID | 1150168 |
| Credential Number | CSP.0054238 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
110 Spring Meadow Dr Apt 14 Williamsville NY 14221-8423 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-02-22 |
| Effective Date | 2013-02-22 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1129267 | 1.051618 | Physician/Surgeon | 2013-02-01 | 2013-02-01 - 2014-02-28 | INACTIVE |
| Street Address | 110 SPRING MEADOW DR APT 14 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-8423 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc C Mussachio | 30 N Forest Rd, Williamsville, NY 14221 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kathleen A Swann | 2330 Maple Rd, Williamsville, NY 14221 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Asher B Blum | 163 Viscount Dr, Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David R Ludwig | 75 Farmington Road, Williamsville, NY 14221 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andrew V Terragnoli | 205 Maple Rd, Williamsville, NY 14221 | Professional Engineer | 2020-02-24 ~ 2021-01-31 |
| Adrian A Forzani II | 158 Brushcreek Rd, Williamsville, NY 14221 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Keyur Suryakant Shah | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Yasser M Heakal | 70 Glendon Pl, Williamsville, NY 14221 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Neiman Funds | 6631 Main Street, Williamsville, NY 14221 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Shelina Siu | 84 Sandhurst Ct, Williamsville, NY 14221 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 14221 | |||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLIAMSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mathew D Kline | 212 Wooster St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jenny Mathew | 12 Heritage Dr, Avon, CT 06001-4521 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mathew R. Williams | 174 W 76th St Apt 8g, New York, NY 10023-8407 | Controlled Substance Registration for Practitioner | 2015-04-10 ~ 2017-02-28 |
| Salil Mathew | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marina Mathew | 1 W Glen Ave, Port Chester, NY 10573-2223 | Controlled Substance Registration for Practitioner | 2019-11-01 ~ 2021-02-28 |
| Susan Mathew Md | 10 Point Comfort, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Anil Mathew Md | 228 Deerbrooke Circle, Soutington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mathew Alias Do | 5 King Arthur Way Apt 2, Newington, CT 06111-2228 | Controlled Substance Registration for Practitioner | 2011-11-07 ~ 2013-02-28 |
| Trini A Mathew | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2017-02-28 |
| Eapen S Mathew | 80 Seymour St, Jb333, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).