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.
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.
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 |
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 |
Street Address | 386 Woodland St |
City | Manchester |
State | CT |
Zip Code | 06066-4845 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
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 |
Find all Licenses in zip 06066 |
City | Manchester |
Zip Code | 06066 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Manchester |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nichole L Delucia | 16 Quigley Road, Wallingford, CT 06492 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
Nichole Roxas | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
Nichole Brunton | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2018-06-21 ~ 2021-06-30 |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Nichole R. Lewis | 1300 Midland Ave, Yonkers, NY 10704 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Ashley Nichole Bellamy | 1735 Ella T Grasso Blvd, New Haven, CT 06511-1601 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jane L Kycia | 50 Mcmullen Ave, Wethersfield, CT 06109 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
Angela M Kycia | 26 Old Point Rd, Milford, CT 06460-5804 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Douglas Kycia | 54 Wooding Hill Rd, Bethany, CT 06524 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
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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).