ROBERT K NICEWANDER MD (Credential# 561827) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 27, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
ROBERT K NICEWANDER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044245. The credential type is physician/surgeon. The effective date is February 27, 2007. The expiration date is February 29, 2008. The business address is 30 Harris Ave, Lincoln, RI 02865. The current status is inactive.
Licensee Name | ROBERT K NICEWANDER MD |
Credential ID | 561827 |
Credential Number | 1.044245 |
Credential Type | Physician/Surgeon |
Business Address |
30 Harris Ave Lincoln RI 02865 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2006-04-07 |
Effective Date | 2007-02-27 |
Expiration Date | 2008-02-29 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
436459 | CSP.0039078 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-04-25 | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | 30 HARRIS AVE |
City | LINCOLN |
State | RI |
Zip Code | 02865 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Calise & Son Bakery Inc | 2 Quality Dr, Lincoln, RI 02865 | Food Warehouse | 2020-07-01 ~ 2021-06-30 |
Brenda L Hultquist | 12 Kirkbrae Dr, Lincoln, RI 02865 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Century Drywall Inc | 1988 Louisquisset Pike, Lincoln, RI 02865 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Anthony Rosciti | 7 Morgan Ct, Lincoln, RI 02865 | Hoisting Equipment Operator | 2020-04-05 ~ 2022-04-04 |
Arthur W. Almeida | 15 Grafton St, Lincoln, RI 02865 | Crane Operator | 2017-05-08 ~ 2019-05-07 |
Tara N Tremblay | 8 Cooper Drive, Lincoln, RI 02865 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
James G Dusty | Gordon Appraisal Company, LLC, Lincoln, RI 02865 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Kenneth D Demers | 135 Jenckes Hill Rd, Lincoln, RI 02865 | Electrical Unlimited Journeyperson | 2020-04-01 ~ 2020-09-30 |
Melissa A Bernard | 46 Holiday Drive, Lincoln, RI 02865 | Respiratory Care Practitioner | 2020-04-01 ~ 2021-03-31 |
Karen Mcnally | 1 Christian Ct, Lincoln, RI 02865 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 02865 |
City | LINCOLN |
Zip Code | 02865 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LINCOLN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert F Porges | 530 First Ave, New York, NY 10016 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Robert B Sirkin | Po Box 903, Grantham, NH 03753 | Physician/surgeon | 1995-08-18 ~ 1996-05-31 |
Robert P Conlen | Po Box 447, Farmington, CT 06034-0447 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
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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).