SIERRA L PACHOLSKI PA-C (Credential# 743699) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SIERRA L PACHOLSKI PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001950. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 10 Windy Hill Rd, Coventry, CT 06238-3525. The current status is active.
| Licensee Name | SIERRA L PACHOLSKI PA-C |
| Credential ID | 743699 |
| Credential Number | 23.001950 |
| Credential Type | Physician Assistant |
| Business Address |
10 Windy Hill Rd Coventry CT 06238-3525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-08-17 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 480204 | CSP.0042470 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-08-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 843433 | 70.003700 | Emergency Medical Technician | 2003-06-18 | 2012-03-21 - 2014-12-31 | INACTIVE |
| Street Address | 10 WINDY HILL RD |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-3525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen W Pacholski | 10 Windy Hill Rd, Coventry, CT 06238-3525 | Emergency Medical Technician | 2018-06-07 ~ 2021-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael W Watson | 32 Windy Hill Rd, Coventry, CT 06238-3525 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Briana L Callegari | 15 Windy Hill Rd, Coventry, CT 06238-3525 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa C Pacholski | 1289 Enfield St, Enfield, CT 06082-4921 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Angelina Dawn Holt | 5007 East Santiago Court, Sierra Vista, AZ 85635 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Maida Sierra · Sierra-negron | Po Box 718, Belpre, OH 45714 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Sierra Designs · Sierra Designs Acquistion | 1224 Fernridge Pkwy, St Louis, MO 63141 | Manufacturer of Bedding & Upholstered Furniture | 2004-05-01 ~ 2005-04-30 |
| Enrique Sierra | 199 Park St, Bridgeport, CT 06608-1637 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Laura L Pacholski | Po Box 163, Canton, CT 06019-0163 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| Marsha J Pacholski | 30 Bernardino Ave, Enfield, CT 06082 | Physical Therapist | 2015-10-01 ~ 2016-09-30 |
| Karen H Pacholski | 36 Thornridge Dr, Colchester, CT 06415-1863 | Dietitian/nutritionist | 2020-04-01 ~ 2021-03-31 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Please comment or provide details below to improve the information on SIERRA L PACHOLSKI PA-C.
| 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).