NICHOLAS ESTIS (Credential# 1384522) 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.
NICHOLAS ESTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003749. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 44 Foltim Way, Congers, NY 10920. The current status is active.
Licensee Name | NICHOLAS ESTIS |
Credential ID | 1384522 |
Credential Number | 23.003749 |
Credential Type | Physician Assistant |
Business Address |
44 Foltim Way Congers NY 10920 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-12-06 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1389122 | CSP.0064337 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-07 | 2019-03-11 - 2021-02-28 | ACTIVE |
Street Address | 44 Foltim Way |
City | Congers |
State | NY |
Zip Code | 10920 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kashi N Ray | 4 Beth Lane, Congers, NY 10920 | Architect | 2018-08-01 ~ 2019-07-31 |
Guillermo E Sanchez | 210 S. Conger Ave, Congers, NY 10920 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Arthur W Zoubek | 230 Foltim Way, Congers, NY 10920 | Respiratory Care Practitioner | 2020-03-01 ~ 2021-02-28 |
Cynthia Poslusny Duggan | 30 Von Beaste Ln, Congers, NY 10920 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Mariakutty M George | 134 New York Avenue, Congers, NY 10920 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
Vladimir Shabin | 235 South Congers Ave, Congers, NY 10920 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Paul J Shea | 52 Ohio Avenue, Congers, NY 10920 | Notary Public Appointment | 2006-10-12 ~ 2011-10-31 |
Anthony Ferrante | 17 Wells Avenue, Congers, NY 10920 | Notary Public Appointment | 2007-08-24 ~ 2012-08-31 |
Katherine A Mangan | 25 North Conger Avenue, Congers, NY 10920 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Frank J Tucek & Son Inc | 92 North Route 9w, Congers, NY 10920 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 10920 |
City | Congers |
Zip Code | 10920 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Congers |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas Stroumbakis | 25 Mimosa Dr, Cos Cob, CT 06807-1402 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Nicholas A Salvador | 435 Lewis Avenue, Meriden, CT 06451 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Nicholas S. Haskell | 65 Iroquois Rd, West Hartford, CT 06117-2112 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Nicholas J Charboneau | 12 Buckthorn Ln, North Attleboro, MA 02760-4760 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Nicholas W Chasse | 48 Brindlewood Path, Colchester, CT 06415-2147 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Nicholas James Zielinski | 231 S Belvior Blvd, South Euclid, OH 44121 | Physician Assistant | ~ |
Nicholas Clay Vance | 190 Broad Hollow Rd, Pecks Mill, WV 25547 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Nicholas J Moncada Jr | 156 Lakeside Ave, Middletown, CT 06457-4161 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
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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).