NICOLE CHAVES (Credential# 1364513) 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 ACTIVE.
NICOLE CHAVES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063420. 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 85 Emerson Ave, Pittsfield, MA 01201-7339. The current status is active.
| Licensee Name | NICOLE CHAVES |
| Credential ID | 1364513 |
| Credential Number | CSP.0063420 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
85 Emerson Ave Pittsfield MA 01201-7339 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1359828 | 23.003583 | Physician Assistant | 2016-07-01 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 85 EMERSON AVE |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-7339 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia R Gardner | 289 Pomeroy Avenue, Pittsfield, MA 01201 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| E D M Services Inc | 100 West Street Ste# 210, Pittsfield, MA 01201 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Jeannine Huey | 24 Crystal St, Pittsfield, MA 01201 | Registered Nurse - Temporary | 2020-03-04 ~ 2020-07-02 |
| Dawn Shepherd | 102 Dickinson Ave, Pittsfield, MA 01201 | Registered Nurse | ~ |
| Brent M White | 8 Charisma Drive, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Seth E Bonacquisti | 20 Revilla Terr, Pittsfield, MA 01201 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Frank J Paskowski Jr | 107 Clydesdale Dr, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Roy M Andersen Jr | 22 Revere Parkway, Pittsfield, MA 01201 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Harley Keisch | 197 View Dr, Pittsfield, MA 01201 | Registered Nurse | 2019-12-04 ~ 2020-10-31 |
| Robert E Post Jr | 233 Eleanor Road, Pittsfield, MA 01201 | Notary Public Appointment | 2019-10-15 ~ 2024-10-31 |
| Find all Licenses in zip 01201 | |||
| City | PITTSFIELD |
| Zip Code | 01201 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PITTSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jorge M Chaves | 100 York St Apt 6a, New Haven, CT 06511-5612 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Alicia H Chaves | 14e Cedar Ct, East Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Monika Chaves | 69 Buck Hill Rd, Ridgefield, CT 06877-2702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos A Enciso Chaves Md | 27 Park Drive, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wilhelmina P Garrison Md | 130 Nicole Dr, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Nicole Barrella | 67 Murray St, Norwalk, CT 06851-3307 | Controlled Substance Registration for Practitioner | 2013-05-13 ~ 2015-02-28 |
| Nicole S Mccormack | 135 New Britain Ave Apt 24, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nicole L Fersa | 5 Alpine Dr, Wayne, NJ 07470-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Collins | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2011-03-29 ~ 2013-02-28 |
Please comment or provide details below to improve the information on NICOLE CHAVES.
| 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).