RICHARD E NILSON (Credential# 543578) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
RICHARD E NILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021117. The credential type is physician/surgeon. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is Po Box 1225, Damariscotta, ME 04543-1225. The current status is inactive.
| Licensee Name | RICHARD E NILSON |
| Credential ID | 543578 |
| Credential Number | 1.021117 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 1225 Damariscotta ME 04543-1225 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1979-04-11 |
| Effective Date | 2010-04-01 |
| Expiration Date | 2011-03-31 |
| Refresh Date | 2011-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156602 | CSP.0015595 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | PO BOX 1225 |
| City | DAMARISCOTTA |
| State | ME |
| Zip Code | 04543-1225 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Nilson Md | Po Box 1225, Damariscotta, ME 04543-1225 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deryl C Holt | P.o.box 1291, Damariscotta, ME 04543 | Speech and Language Pathologist | 2014-05-01 ~ 2015-04-30 |
| Susan J Renelt | P O Box 1496, Damariscotta, ME 04543 | Registered Nurse | 2011-07-01 ~ 2012-06-30 |
| Elizabeth A Cormier | P.o. Box 1384, Damariscotta, ME 04543 | Licensed Practical Nurse | 1995-09-26 ~ 1996-09-30 |
| Jonathan Fairbanks | Po Box 575, Damariscotta, ME 04543 | Dentist | 2013-10-01 ~ 2014-09-30 |
| Cynthia L Fairbanks | P.o. Box 575, Damariscotta, ME 04543 | Physical Therapist | 2005-05-19 ~ 2006-07-31 |
| Chris S Williams | P.o. Box 314, Damariscotta, ME 04543 | Paramedic | 2001-03-06 ~ 2002-02-28 |
| City | DAMARISCOTTA |
| Zip Code | 04543 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DAMARISCOTTA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Nilson Md | Po Box 1225, Damariscotta, ME 04543-1225 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Nilson Painting LLC | 79 Berrios Hill Rd, Windsor, CT 06095 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard W Pooley Md | 290 W 580 S, Orem, UT 84058-6151 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Richard B Knapp | Po Box 13588, R T P, NC 27709 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
| Richard P. Goldmann | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | ~ |
| Richard A Marino Md | Fairfield, CT 0643013 | Physician/surgeon | 2000-03-20 ~ 2001-05-31 |
| Richard Elizee | 95 Worth St, New York, NY 10013 | Physician/surgeon | ~ |
| Richard S Childs Jr | Box 660, Norfolk, CT 06058 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on RICHARD E NILSON.
| 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).