NICHOLAS J CHARBONEAU (Credential# 1465325) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
NICHOLAS J CHARBONEAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004011. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 12 Buckthorn Ln, North Attleboro, MA 02760-4760. The current status is active.
| Licensee Name | NICHOLAS J CHARBONEAU |
| Credential ID | 1465325 |
| Credential Number | 23.004011 |
| Credential Type | Physician Assistant |
| Business Address |
12 Buckthorn Ln North Attleboro MA 02760-4760 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-13 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1470188 | CSP.0067313 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-01-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1179510 | 70.016492 | Emergency Medical Technician | 2013-08-14 | 2013-08-14 - 2016-03-31 | INACTIVE |
| Street Address | 12 BUCKTHORN LN |
| City | NORTH ATTLEBORO |
| State | MA |
| Zip Code | 02760-4760 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brenna Erin Mcnamee | 71 Mt Hope St, North Attleboro, MA 02760 | Emergency Medical Technician | 2017-02-07 ~ 2019-12-31 |
| Kingkeo Xayyapanya | 101 May Street, North Attleboro, MA 02760 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Gregory J Hatch | 22 Blue Rock Hill Lane, N. Attleboro, MA 02760 | Asbestos Consultant-insp/mgmt Planner | 2020-03-01 ~ 2021-02-28 |
| Gregory A Shanahan | 355 Kelley Blvd, North Attleboro, MA 02760 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Alan S Watka | 57 Lois Lane, No. Attleboro, MA 02760 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Adam P Zysk | 66 Raymond Hall Dr, N Attleboro, MA 02760 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Steven Michael Cabral | 20 Ash Street, North Attleboro, MA 02760 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Megan Grafton | 481 Mendon Road, North Attleboro, MA 02760 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Zayra I Castellanos | 101 Church Street Apt 2, North Attleboro, MA 02760 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Timothy A Elliott | 180 Park Street - Unit 10, North Attleboro, MA 02760 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 02760 | |||
| City | NORTH ATTLEBORO |
| Zip Code | 02760 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORTH ATTLEBORO |
| 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 Estis | 44 Foltim Way, Congers, NY 10920 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Nicholas A Salvador | 435 Lewis Avenue, Meriden, CT 06451 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Nicholas W Chasse | 48 Brindlewood Path, Colchester, CT 06415-2147 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Nicholas S. Haskell | 65 Iroquois Rd, West Hartford, CT 06117-2112 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| 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 |
| Robert G Brown | 84 Charboneau Rd., Ticonderoga, NY 12083 | Respiratory Care Practitioner | ~ |
| Rose M Charboneau | 16 Hudson St, East Haven, CT 06512-1523 | Hairdresser/cosmetician | 2018-10-01 ~ 2020-09-30 |
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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).