NICHOLE L KYCIA
Physician Assistant


Address: 386 Woodland St, Manchester, CT 06066-4845

NICHOLE L KYCIA (Credential# 1229547) is licensed (Physician Assistant) 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.

Business Overview

NICHOLE L KYCIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003117. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 386 Woodland St, Manchester, CT 06066-4845. The current status is active.

Basic Information

Licensee Name NICHOLE L KYCIA
Credential ID 1229547
Credential Number 23.003117
Credential Type Physician Assistant
Business Address 386 Woodland St
Manchester
CT 06066-4845
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-07-03
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2019-12-13

Other licenses

ID Credential Code Credential Type Issue Term Status
1236613 CSP.0058333 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-07-26 2019-03-01 - 2021-02-28 ACTIVE
889458 70.011096 Emergency Medical Technician 2009-08-17 2011-07-15 - 2014-03-31 INACTIVE

Office Location

Street Address 386 Woodland St
City Manchester
State CT
Zip Code 06066-4845

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Cynthia Stelma 35 White St, Vernon, CT 06066 Registered Nurse 2020-07-01 ~ 2021-06-30
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Taylor Rose Mulcahy 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 Registered Nurse 2020-07-01 ~ 2021-06-30
Eric Scott · E Scott Const 27 Lawrence St, Vernon Rockville, CT 06066 Home Improvement Contractor 2020-06-20 ~ 2020-11-30
Margaret A Lucerini 27 Rosewood Dr, Vernon, CT 06066 Registered Nurse 2020-07-01 ~ 2021-06-30
Alexander John Bozzi 28 Deepwood Dr, Vernon, CT 06066 Home Inspector Intern 2020-05-30 ~ 2021-06-30
Kathleen N Laplaca 244 Risley Road, Vernon, CT 06066 Registered Nurse 2020-07-01 ~ 2021-06-30
Shawnda Shelton 215 East Main St. #25, Vernon, CT 06066 Medication Administration Certification 2020-06-05 ~ 2022-06-04
Ireland Oil Co Inc 171 Union St, Vernon, CT 06066 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Annmarie Margaret Fultz 1a Prospect St, Vernon Rockville, CT 06066 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City Manchester
Zip Code 06066
License Type Physician Assistant
License Type + County Physician Assistant + Manchester

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Dataset Information

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).

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