MATTHEW D NANKIN (Credential# 1239318) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MATTHEW D NANKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003192. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 138 Fair St, Wallingford, CT 06492-4210. The current status is active.
| Licensee Name | MATTHEW D NANKIN |
| Credential ID | 1239318 |
| Credential Number | 23.003192 |
| Credential Type | Physician Assistant |
| Business Address |
138 Fair St Wallingford CT 06492-4210 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-09-15 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1245471 | CSP.0058708 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-09-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1314225 | 73.001651 | Emergency Medical Service Instructor | 2015-10-23 | 2015-10-23 - 2018-10-01 | INACTIVE |
| 1200031 | 72.003134 | Paramedic | 2014-05-05 | 2017-06-01 - 2018-05-31 | PENDING |
| Street Address | 138 FAIR ST |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-4210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marlene Nankin | 138 Fair St, Wallingford, CT 06492-4210 | Registered Nurse | 2016-11-01 ~ 2017-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyler James Swanson | 132 Fair St, Wallingford, CT 06492-4210 | Medical Marijuana Producer Employee | 2019-10-22 ~ 2020-10-22 |
| Brian Foran | 104 Fair St, Wallingford, CT 06492-4210 | Home Improvement Salesperson | 2010-05-04 ~ 2010-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew E. Milstein | Psc 475 Box 1315, Fpo Yokohama, 96350 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| Matthew A Bouteiller Pa | 50 Union St Apt 9, Northampton, MA 01060-3254 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Matthew M Faucher | 26 Hawthorne Pl, North Andover, MA 01845-4205 | Physician Assistant | ~ |
| Matthew W. Musco Pa-c | 132 Clearfield Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew A Sleboda | 5 Finn Ln, Plainfield, CT 06374-2062 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew B Band | 19 Worden Cir, Cheshire, CT 06410 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Matthew Champeau Pa | 234 Spielman Hwy, Burlington, CT 06013-2010 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew J Moore | 55 Langdon Ct, Berlin, CT 06037-1316 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
| Matthew C Singleton Pa-c | 41 Rochela Dr, Southington, CT 06489-4670 | Physician Assistant | 2016-08-01 ~ 2017-07-31 |
| Matthew T Mitchell Pa | 118 Osborne St Apt 1c, Danbury, CT 06810 | Physician Assistant | 2004-11-01 ~ 2005-10-31 |
Please comment or provide details below to improve the information on MATTHEW D NANKIN.
| 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).