ANDREA M NIZIOLEK PA (Credential# 743501) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ANDREA M NIZIOLEK PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001752. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 56 Kelsey Springs Dr, Madison, CT 06443-2478. The current status is active.
Licensee Name | ANDREA M NIZIOLEK PA |
Credential ID | 743501 |
Credential Number | 23.001752 |
Credential Type | Physician Assistant |
Business Address |
56 Kelsey Springs Dr Madison CT 06443-2478 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2006-01-26 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
431696 | CSP.0038914 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
840651 | 70.000916 | Emergency Medical Technician | 2000-10-10 | 2002-06-28 - 2004-06-30 | INACTIVE |
Street Address | 56 KELSEY SPRINGS DR |
City | MADISON |
State | CT |
Zip Code | 06443-2478 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06443 |
City | MADISON |
Zip Code | 06443 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + MADISON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea Cunningham | 520 E 20th St Apt 8d, New York, NY 10009-8313 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
Andrea M Lagasse | 20 Greenmeadow Ln, Granby, MA 01033-9594 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
Andrea L Calore | 110 Woodbury Rd, Watertown, CT 06795-2130 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Andrea Lowe | 1111 New Jersey Ave, Washington, DC 20003 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
Andrea J Stannard Pa | 34 Chelsea Circle, Bethany, CT 06524 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Andrea Lauren Arnone | 1 Harvard Ave, Yonkers, NY 10710 | Physician Assistant | 2018-11-26 ~ 2019-06-30 |
Andrea H Lynch | 164 Surrey Lane, Fairfield, CT 06824 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Andrea Lynne Grammatico | 10 Stoney Brook Rd, Wallingford, CT 06492-2759 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Andrea C Dorak | 1147 Marion Road, Cheshire, CT 06410 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).