NICHOLAS CLAY VANCE (Credential# 1603639) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
NICHOLAS CLAY VANCE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004498. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 190 Broad Hollow Rd, Pecks Mill, WV 25547. The current status is active.
| Licensee Name | NICHOLAS CLAY VANCE |
| Credential ID | 1603639 |
| Credential Number | 23.004498 |
| Credential Type | Physician Assistant |
| Business Address |
190 Broad Hollow Rd Pecks Mill WV 25547 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-28 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1684999 | CSP.0072298 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-08-21 | 2019-08-21 - 2021-02-28 | ACTIVE |
| Street Address | 190 BROAD HOLLOW RD |
| City | PECKS MILL |
| State | WV |
| Zip Code | 25547 |
| City | PECKS MILL |
| Zip Code | 25547 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PECKS MILL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joshua Clay Bailey | 4914 Meade St, Denver, CO 80221 | Physician Assistant | ~ |
| Nicholas Stroumbakis | 25 Mimosa Dr, Cos Cob, CT 06807-1402 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| James Vance · Jim Vance Builders | 220 Snake Meadow Rd, Danielson, CT 06239-0404 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| 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 J Charboneau | 12 Buckthorn Ln, North Attleboro, MA 02760-4760 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Nicholas James Zielinski | 231 S Belvior Blvd, South Euclid, OH 44121 | Physician Assistant | ~ |
| Nicholas Vance | 1815 Gallagher Rd, Plymouth Meeting, PA 19462 | Repairer of Weighing & Measuring Devices | 2010-01-01 ~ 2010-12-31 |
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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).