NICHOLAS JOSEPH (Credential# 1490766) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 29, 2015. The license expiration date date is June 30, 2020. The license status is ACTIVE.
NICHOLAS JOSEPH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058868-RES. The credential type is resident physician. The effective date is June 29, 2015. The expiration date is June 30, 2020. The business address is 29144 Jefferson Court, St Clair Shores, MI 48081. The current status is active.
| Licensee Name | NICHOLAS JOSEPH |
| Credential ID | 1490766 |
| Credential Number | 1.058868-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
29144 Jefferson Court St Clair Shores MI 48081 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-29 |
| Effective Date | 2015-06-29 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1287679 | CSP.0060399 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-09 | 2015-07-09 - 2017-02-28 | INACTIVE |
| 1284255 | 1.054375 | Physician/Surgeon | 2015-07-08 | 2015-12-01 - 2016-11-30 | INACTIVE |
| Street Address | 29144 Jefferson Court |
| City | St Clair Shores |
| State | MI |
| Zip Code | 48081 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph F Dicamillo | 28955 Grant Street, Saint Clair Shores, MI 48081 | Emergency Medical Responder | 2018-08-02 ~ 2021-04-01 |
| Giffels Associates Inc | 22429 Lakecrest, St Clair Shores, MI 48081 | Professional Engineer | 1994-01-25 ~ 1995-01-31 |
| Michael F Warren | 22024 L'anse, St Clair Shores, MI 48081 | Electrical Unlimited Journeyperson | ~ |
| Doug Downing | 22617 L'anse, St Clair Shores, MI 48081 | Electrical Unlimited Journeyperson | ~ |
| John C Gorajczyk | 25511 Ursuline, Ste Clair Shores, MI 48081 | Electrical Unlimited Journeyperson | ~ |
| Kenneth Difranco | 22461 Wildwood St, S C S, MI 48081 | Electrical Unlimited Journeyperson | ~ |
| Michael W Czachorowski | 28937 Grant St, Saint Clair Shores, MI 48081-1011 | Public Service Technician - Telephone | 2011-09-06 ~ 2012-09-30 |
| Nancy M Burns | 22516 Shorewood Dr, Saint Clair Shores, MI 48081-1363 | Registered Nurse | 2013-07-01 ~ 2014-06-30 |
| Theodore George Mayer | 22631 Shorewood Dr, Saint Clair Shores, MI 48081-2628 | Physician/surgeon | 2020-05-13 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Blanchard | 23212 Shoreview St., St Clair Shores, MI 48082 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Nancy C Gorey | 22613 Avalon, St Clair Shores, MI 48080 | Registered Nurse | ~ 1996-12-31 |
| Prestige Imports LLC | 22201 Harper, St Clair Shores, MI 48080 | Out of State Shipper Liquor | 2007-11-02 ~ 2008-11-01 |
| Steve Raykov | 32606 Harper, St Clair Shores, MI 48082 | Electrical Unlimited Contractor | ~ 1995-10-01 |
| Eric G Grassel | 21735 Harper Lake, St Clair Shores, MI 48080 | Electrical Unlimited Journeyperson | ~ 1995-10-01 |
| Joseph F Abdoo | 23700 Allor, St Clair Shores, MI 48082 | Electrical Unlimited Journeyperson | ~ |
| City | St Clair Shores |
| Zip Code | 48081 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + St Clair Shores |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Heliotis | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Nicholas J. Izor | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas R Cormier | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas A Read | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
| Nicholas Calitri | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas M Zwolinski | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas Peters | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Cameron Nicholas Fick | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Nicholas Bercovici | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Nicholas Vincent Barresi | 750 Quinnipiac Ave Apt 4, New Haven, CT 06513-3367 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
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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).