NICOLE DAVIS (Credential# 1299575) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
NICOLE DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003411. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 272 Chamberlain Hill Rd, Middletown, CT 06457-5599. The current status is active.
| Licensee Name | NICOLE DAVIS |
| Credential ID | 1299575 |
| Credential Number | 23.003411 |
| Credential Type | Physician Assistant |
| Business Address |
272 Chamberlain Hill Rd Middletown CT 06457-5599 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-19 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1332621 | CSP.0062086 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-02-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Davis | 18 Terry Road, Gales Ferry, CT 06335 | Notary Public Appointment | 2017-09-20 ~ 2022-09-30 |
| Street Address | 272 CHAMBERLAIN HILL RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-5599 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katlynn Nicole Davis | 18 Niles Ct, Berlin, CT 06037-2700 | Family Child Care Assistant | 2018-07-02 ~ 2020-07-31 |
| Marine Kazaryan | 6 Davis Ave Apt A22, Rye, NY 10580-4166 | Physician Assistant | 2016-12-21 ~ 2017-05-31 |
| Tio Livingston | 254 Davis St, Hamden, CT 06517-3603 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Nicole R Ciccia | 71 Joy Rd Apt C, Milford, CT 06460-6052 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
| Richard S Cassa Pa | 248 Davis Rd, Fairfield, CT 06825-2636 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Nicole Ferrantelli | 59 Old Post Rd Apt F7, Clinton, CT 06413-1864 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
| 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 | ~ |
| Jaime A Camacho | 6 Nicole Ln, Burlington, CT 06013-2123 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NICOLE DAVIS.
| 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).