ERICA L NILSSON PA (Credential# 742544) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 7, 2003. The license expiration date date is April 30, 2004. The license status is INACTIVE.
ERICA L NILSSON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000795. The credential type is physician assistant. The effective date is March 7, 2003. The expiration date is April 30, 2004. The business address is 134 Red Acre Rd, Stowe, MA 01775. The current status is inactive.
| Licensee Name | ERICA L NILSSON PA |
| Credential ID | 742544 |
| Credential Number | 23.000795 |
| Credential Type | Physician Assistant |
| Business Address |
134 Red Acre Rd Stowe MA 01775 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-12-18 |
| Effective Date | 2003-03-07 |
| Expiration Date | 2004-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 208459 | CSP.0027950 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 134 RED ACRE RD |
| City | STOWE |
| State | MA |
| Zip Code | 01775 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel Ann Farley | 11 Fox Court, Stow, MA 01775 | Registered Nurse | ~ |
| Kathleen Heydt | 34 Arbor Glen Dr, Stow, MA 01775 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Thomas H Winters | 208 Barton Road, Stow, MA 01775 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Debora Scavone Goldman | 29 Cranberry Circle, Stow, MA 01775 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Garry P Balboni | 55 Boxboro Rd, Stow, MA 01775 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Classic Metal Roofs LLC | 264 Gleasondale Rd, Stow, MA 01775 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Lynne A Lamb | 53 Ridgewood Dr., Stow, MA 01775 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Peter J Ottowitz | 66 Old Bolton Rd, Stow, MA 01775 | Home Inspector | 2019-07-01 ~ 2021-06-30 |
| Rebecca Vangsness | 15 Seven Star Lane, Stow, MA 01775 | Emergency Medical Technician | ~ |
| Astro Welding & Fab., Inc. | 45 White Pond Rd., Stow, MA 01775 | Crane Registration | 2006-12-06 ~ 2007-12-05 |
| Find all Licenses in zip 01775 | |||
| City | STOWE |
| Zip Code | 01775 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STOWE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Amianda | 476 Jefferson St Apt 213, Brooklyn, NY 11237-2308 | Physician Assistant | 2011-03-29 ~ 2011-08-31 |
| Erica Silk | 21 Gates Ave, East Longmeadow, MA 01028 | Physician Assistant | ~ |
| Erica B Korzekwinski | 54 George Washington Hwy, Ridgefield, CT 06877 | Physician Assistant | 2017-11-16 ~ 2018-10-31 |
| Erica L Fisher | 45 Schuyler Dr, East Longmeadow, MA 01028 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Erica M Plambeck | Planned Parenthood of Ct, Willimantic, CT 06226 | Physician Assistant | 2001-10-25 ~ 2002-11-30 |
| John A Nilsson Jr · John A Nilsson Carpentry & Remodeling | 17 Rice Ter, Branford, CT 06405-3810 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Erica Katelyn Lettow | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Wesley Nilsson | 9321 Avalon Gates, Trumbull, CT 06611-5834 | Resident Physician | 2018-06-25 ~ 2022-06-30 |
| Erica K Dack | 96 Danbury Rd Apt 2b, Ridgefield, CT 06877-4053 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Erica Bott | 123 Sunset Dr, Danielson, CT 06239-2129 | Occupational Therapist Assistant | 2015-08-01 ~ 2017-07-31 |
Please comment or provide details below to improve the information on ERICA L NILSSON PA.
| 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).