NICOLE L FERSA (Credential# 1352388) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
NICOLE L FERSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062638. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 5 Alpine Dr, Wayne, NJ 07470-4201. The current status is inactive.
| Licensee Name | NICOLE L FERSA |
| Credential ID | 1352388 |
| Credential Number | CSP.0062638 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Alpine Dr Wayne NJ 07470-4201 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-06-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488466 | 1.057861-RES | Resident Physician | 2016-06-28 | 2016-06-28 - 2019-06-30 | INACTIVE |
| Street Address | 5 ALPINE DR |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-4201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose A Ortiz | 1270b Valley Road, Wayne, NJ 07470 | Architect | 2020-08-01 ~ 2021-07-31 |
| Louis A Yorey | 21 Tulip Terr, Wayne, NJ 07470 | Certified General Real Estate Appraiser | 2020-06-03 ~ 2021-04-30 |
| Molly K Wojtusik | 23 Lancaster Ct, Wayne, NJ 07470 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Francisco Chua Patawaran | 5 Oak Hill Drive, Wayne, NJ 07470 | Tax Preparer/facilitator Permit | 2020-02-14 ~ 2022-02-28 |
| David Gallaway | 11 Fairview Terrace, Wayne, NJ 07470 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Jennifer Marie Degnan | 15 Osborne Terrace, Wayne, NJ 07470 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Nirali Patel | 18 Woodridge Terrace, Wayne, NJ 07470 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Linda Karalis Corradi | 1413 Alps Road, Wayne, NJ 07470 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael A Semeraro | 2 Warner Way, Wayne, NJ 07470 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Franca Aloia-brown | 80 Mohawk Trail, Wayne, NJ 07470 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 07470 | |||
| City | WAYNE |
| Zip Code | 07470 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WAYNE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Lavette | 29 Little Brook Dr, Newington, CT 06111-5302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole A Kennedy | 739 Carrington Rd, Bethany, CT 06524-3183 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole B Fernandez | 25 Peterborough St Apt 14, Boston, MA 02215-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Maletta | 13 Hemlock Ct, Durham, CT 06422-1405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Y Belair | 28 Walas Rd, Moosup, CT 06354-1206 | Controlled Substance Registration for Practitioner | 2019-09-09 ~ 2021-02-28 |
| Nicole Duchesneau | 58 Hnath Rd, Ashford, CT 06278-2324 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole M Loo | 100 York St Unit 5-0, New Haven, CT 06511-5620 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole S Kraese | 5 Delta Ave, Danbury, CT 06810-7501 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
| C Nicole Gorman | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NICOLE L FERSA.
| 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).