NICOLE L HETTRICH PA (Credential# 238398) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
NICOLE L HETTRICH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029873. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 31 Elm St, South Windsor, CT 06074. The current status is active.
| Licensee Name | NICOLE L HETTRICH PA |
| Credential ID | 238398 |
| Credential Number | CSP.0029873 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
31 Elm St South Windsor CT 06074 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-07-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742721 | 23.000972 | Physician Assistant | 2000-07-12 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 31 ELM ST |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole R Weinreb | 32 Bartlett Dr, Madison, CT 06443-1751 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole E Brown | 382 Northwood Dr, Guilford, CT 06437-1156 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole Joyce | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole Monahan | 44 Starwood Trl, Colchester, CT 06415-1868 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Chaves | 85 Emerson Ave, Pittsfield, MA 01201-7339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Cronan | 116 Deer Run Dr, Wolcott, CT 06716 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole L Aaronson | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole L Pounds | 151a Old Dam Rd, Fairfield, CT 06824-6387 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Duchesneau | 58 Hnath Rd, Ashford, CT 06278-2324 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).