NANCY K STALEY PA
Physician Assistant


Address: 21 Schilke Dr, Westerly, RI 02891-1402

NANCY K STALEY PA (Credential# 742968) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.

Business Overview

NANCY K STALEY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001219. The credential type is physician assistant. The effective date is December 1, 2017. The expiration date is November 30, 2018. The business address is 21 Schilke Dr, Westerly, RI 02891-1402. The current status is inactive.

Basic Information

Licensee Name NANCY K STALEY PA
Credential ID 742968
Credential Number 23.001219
Credential Type Physician Assistant
Business Address 21 Schilke Dr
Westerly
RI 02891-1402
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-07-30
Effective Date 2017-12-01
Expiration Date 2018-11-30
Refresh Date 2019-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
321562 CSP.0032735 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-11-17 - 2017-02-28 INACTIVE

Office Location

Street Address 21 SCHILKE DR
City WESTERLY
State RI
Zip Code 02891-1402

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Howard L Haronian 45 Wells Street, Westerly, RI 02891 Physician/surgeon 2020-07-01 ~ 2021-06-30
Pamela Addley 222 Post Road, Westerly, RI 02891 Registered Nurse 2020-08-01 ~ 2021-07-31
Kaila Marie Martinez 21 Dayton Street, Westerly, RI 02891 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Leonora L Comrie 23 Holmes Street, Westerly, RI 02891 Registered Nurse 2020-08-01 ~ 2021-07-31
Jessica Geraldine Schilke 38 Stuart Street, Westerly, RI 02891 Registered Nurse 2020-07-01 ~ 2021-06-30
R L Dimario 117a Cross Street, Westerly, RI 02891 Hairdresser/cosmetician 2020-03-01 ~ 2022-02-28
Sherry L Paige · Browning 84 Dunns Corners Road, Westerly, RI 02891 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Ccm Colonial LLC 6 Spuchy Dr, Westerly, RI 02891 Home Improvement Contractor 2020-06-22 ~ 2020-11-30
Diann M Thompson 33 Sandy Lane, Westerly, RI 02891 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Donna M Villano 1 Reading Drive, Westerly, RI 02891 Respiratory Care Practitioner 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 02891

Competitor

Search similar business entities

City WESTERLY
Zip Code 02891
License Type Physician Assistant
License Type + County Physician Assistant + WESTERLY

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Dataset Information

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).

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