DANIELLE BOLEY (Credential# 1357043) 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.
DANIELLE BOLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003614. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 72 Huie St Nw, Concord, NC 28027-5325. The current status is active.
| Licensee Name | DANIELLE BOLEY |
| Credential ID | 1357043 |
| Credential Number | 23.003614 |
| Credential Type | Physician Assistant |
| Business Address |
72 Huie St Nw Concord NC 28027-5325 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-06 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1365684 | CSP.0063471 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-12 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 72 HUIE ST NW |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-5325 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odelia Dawn Harrel | 1422 12th Fairway Drive Nw, Concord, NC 28027 | Registered Nurse - Temporary | 2020-02-20 ~ 2020-06-19 |
| Stacey O Smith | 518 Blue Sky Dr., Concord, NC 28027 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Anne-louise Krug | 3880 Meadow Ridge Drive, Concord, NC 28027 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Shrujal H Shah | 5393 Hackberry Lane Sw, Concord, NC 28027 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Robin Lynn Harward | 9438 Coast Laurel Ave Nw, Concord, NC 28027 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Kerry A Abate | 1465 Duckhorn St Nw, Concord, NC 28027 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Keilin Ortega | 3916 Summerhill Court Nw, Concord, NC 28027 | Electrical Unlimited Journeyperson | 2018-10-01 ~ 2019-09-30 |
| David S Green | 349 Canter Court Nw, Concord, NC 28027 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Julie Anne Holder | 9688 Marquette St. Nw, Concord, NC 28027 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Leeann Bronner | 1050 Stirrup Pl Nw, Concord, NC 28027 | Tax Preparer/facilitator Permit | 2018-12-13 ~ 2020-12-31 |
| Find all Licenses in zip 28027 | |||
| City | CONCORD |
| Zip Code | 28027 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CONCORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Kerr | 71 Ireland Dr, Coventry, CT 06238-2548 | Physician Assistant | ~ |
| Danielle Sarah Desmarais | 25 Old Towne Rd, Cheshire, CT 06410-3122 | Physician Assistant | ~ |
| Danielle R Lauzze Pa-c | 64 Avonwood Rd Apt A12, Avon, CT 06001-2079 | Physician Assistant | 2014-06-01 ~ 2015-05-31 |
| Danielle Holic | 6 Woodcliff Dr, Stormville, NY 12582-5713 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Danielle M Tashakori | 740 Mix Ave Unit 211, Hamden, CT 06514-2282 | Physician Assistant | 2014-06-01 ~ 2015-05-31 |
| Danielle M Tabaka | 11 Arkona Dr, Higganum, CT 06441-4479 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Danielle M Kirei | 15 Lantern Drive, Seymour, CT 06483 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Danielle J Robbins | 302 Providence Street, Woonsocket, RI 02895 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Danielle Doucette | 38 Saddlewood Drive, Hillsdale, NJ 07642 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Danielle L Helm Pa | 16 Arbor Ridge Rd, Torrington, CT 06790-2576 | Physician Assistant | 2014-03-01 ~ 2015-02-28 |
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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).