AMANDA NICOLE POTTS (Credential# 1630899) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AMANDA NICOLE POTTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004411. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 78 Laning Street, Southington, CT 06489. The current status is active.
| Licensee Name | AMANDA NICOLE POTTS |
| Credential ID | 1630899 |
| Credential Number | 23.004411 |
| Credential Type | Physician Assistant |
| Business Address |
78 Laning Street Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1640085 | CSP.0070496 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-03-21 | 2019-03-21 - 2021-02-28 | ACTIVE |
| Street Address | 78 Laning Street |
| City | Southington |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shunda Davis | 78 Laning Street, Southington, CT 06489 | Notary Public Appointment | 2008-04-09 ~ 2013-04-30 |
| Tina M Schools | 78 Laning Street, Southington, CT 06489 | Massage Therapist | 2009-02-18 ~ 2010-10-31 |
| Mayra Michaud | 78 Laning Street, Southington, CT 06489 | Notary Public Appointment | 1996-07-23 ~ 2001-07-31 |
| Amy Olson | 78 Laning Street, Southington, CT 06489 | Pharmacy Technician | 1998-10-01 ~ 2000-03-31 |
| Samuel Bitar | 78 Laning Street, Southington, CT 06488 | Registered Nurse | 1996-01-11 ~ 1996-09-18 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | Southington |
| Zip Code | 06489 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Southington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda N Potts | 68 Grove Rd, North Haven, CT 06473-2420 | Emergency Medical Technician | 2011-11-29 ~ 2014-07-01 |
| Amanda A Cruz | 9 Jamestown Cir, Wallingford, CT 06492-2138 | Physician Assistant | 2013-06-03 ~ 2014-06-30 |
| Amanda J Cullen Pa-c | 38 Zacks Way, Agawam, MA 01001-3246 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Amanda L Orszulak | 90 Greenacre Ave, Longmeadow, MA 01106-1906 | Physician Assistant | 2012-08-06 ~ 2013-05-31 |
| Amanda G Madkour | 51-53 Kenosia Ave, Danbury, CT 06810-2304 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Amanda F Votto Pa-c | 283 S Main St, Wallingford, CT 06492-4602 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Amanda M Boileau | 80 Herrman St, West Springfield, MA 01089-2523 | Physician Assistant | 2014-07-07 ~ 2014-11-30 |
| Amanda Mauck | 241 Erin Drive, Cranberry Township, PA 16066 | Physician Assistant | ~ |
| Amanda Linn Paradiso | 90 Weathervane Dr, New Milford, CT 06776 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Amanda J Mccabe | 189 Cornwall Hill Rd, Patterson, NY 12563-2551 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on AMANDA NICOLE POTTS.
| 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).