NICOLE L PORTER (Credential# 1231710) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
NICOLE L PORTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003124. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 6 Greenwich Office Park, Greenwich, CT 06831-5151. The current status is active.
| Licensee Name | NICOLE L PORTER |
| Credential ID | 1231710 |
| Credential Number | 23.003124 |
| Credential Type | Physician Assistant |
| Business Address |
6 Greenwich Office Park Greenwich CT 06831-5151 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1233726 | CSP.0058036 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 6 GREENWICH OFFICE PARK |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-5151 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew B Cantlon | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Caroline M Hillman | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| James G Cunningham | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Krista Ann Ulrich | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ons Foundation for Clinical Research and Education Inc | 6 Greenwich Office Park, Greenwich, CT 06831 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Vincent Yakavonis | Orthopaedic & Neurosurgery Specialists, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| David Wei | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine B Vadasdi Md | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mark H Camel | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rachele Alyse Struthers | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831-5151 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Tamar Kessel | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Demetris Delos | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Heeren Shashikant Makanji | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kevin Choo | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831-5151 | Controlled Substance Registration for Practitioner | 2019-04-18 ~ 2021-02-28 |
| Betsy C Glenday | Orthopaedic & Neurosurgery Specialists, PC, Greenwich, CT 06831-5151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06831-5151 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hui Ja Paek | 235 Glenville Rd, Greenwich, CT 06831 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gloria E Triana | 11 Hollow Wood Lane, Greenwich, CT 06831 | Real Estate Salesperson | ~ |
| Pointe Residential Builders LLC | 881 Lake Ave, Greenwich, CT 06831 | Major Contractor | 2020-06-26 ~ 2021-06-30 |
| Hrishikesh N. Gogate Dds | 90 Dearfield Drive, Greenwich, CT 06831 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Deborah Alza | 10 Buena Vista Drive, Greenwich, CT 06831 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Hy Pomerance | 55a Byram Terrace Drive, Greenwich, CT 06831 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Maryann Margolies | 8 Pilgrim Dr, Greenwich, CT 06831 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Karen L Kain | 129 Cutler Rd, Greenwich, CT 06831 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Joel M Rein | 2 1/2 Dearfield Dr, Greenwich, CT 06831 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Young Sook Lieu | 52 Almira Dr Unit C, Greenwich, CT 06831 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06831 | |||
| City | GREENWICH |
| Zip Code | 06831 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
| Nicole R Ciccia | 71 Joy Rd Apt C, Milford, CT 06460-6052 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Nicole Ferrantelli | 59 Old Post Rd Apt F7, Clinton, CT 06413-1864 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
| Jaime A Camacho | 6 Nicole Ln, Burlington, CT 06013-2123 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Nicole M Esposito | 5 Lexington Ct, Shelton, CT 06484-5961 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Nicole M Spataro | 427 Williams Rd, Wallingford, CT 06492-2690 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
| Nicole Ann Dietzel | 94 Hawthorne Dr, Southington, CT 06489-2818 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Ashley Nicole Hiep | 3 Sgt. Demeola Rd., Blauvelt, NY 10913 | Physician Assistant | ~ |
| Nicole D Greco Pa | 604 Tompkins Ave Apt B5, Mamaroneck, NY 10543-3729 | Physician Assistant | 2015-03-01 ~ 2016-02-29 |
| Nicole S Feagin | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on NICOLE L PORTER.
| 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).