NICHOLAS TETTEY QUARSHIE (Credential# 1490923) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
NICHOLAS TETTEY QUARSHIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059025-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 410 Emmett St Unit 82, Bristol, CT 06010-8606. The current status is active.
Licensee Name | NICHOLAS TETTEY QUARSHIE |
Credential ID | 1490923 |
Credential Number | 1.059025-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
410 Emmett St Unit 82 Bristol CT 06010-8606 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-07-01 |
Effective Date | 2017-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1427665 | CSP.0065693 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-13 | 2019-12-02 - 2021-02-28 | ACTIVE |
1416451 | 1.056800 | Physician/Surgeon | 2017-08-01 | 2019-09-01 - 2020-08-31 | ACTIVE |
Street Address | 410 EMMETT ST UNIT 82 |
City | BRISTOL |
State | CT |
Zip Code | 06010-8606 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Evelyn Boateng | 410 Emmett St Unit 82, Bristol, CT 06010-8606 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Find all Licenses in zip 06010 |
City | BRISTOL |
Zip Code | 06010 |
License Type | Resident Physician |
License Type + County | Resident Physician + BRISTOL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas R Cormier | 20 York St, New Haven, CT 06510 | 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 |
Nicholas J. Izor | 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 M Zwolinski | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Nicholas Calitri | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Nicholas Heliotis | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Nicholas Paul Tarangelo | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
Nicholas Bercovici | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
Nicholas Druar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2025-06-30 |
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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).