CEDRIC C WALLACE III (Credential# 883942) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
CEDRIC C WALLACE III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23. The credential type is physician assistant. The business address is 20 Coolidge Place, Freeport, NY 11520. The current status is expired application.
| Licensee Name | CEDRIC C WALLACE III |
| Credential ID | 883942 |
| Credential Number | 23 |
| Credential Type | Physician Assistant |
| Business Address |
20 Coolidge Place Freeport NY 11520 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION - EXPIRED APPLICATION |
| Refresh Date | 2010-01-26 |
| Street Address | 20 Coolidge Place |
| City | Freeport |
| State | NY |
| Zip Code | 11520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Island Bedding Corp | 211 E Merrick Rd, Freeport, NY 11520 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Jill A. Smith | 110 Brooklyn Ave, Freeport, NY 11520 | Master's Level Social Worker | 2019-12-01 ~ 2020-11-30 |
| Maria G Barreiro | 160 Westside Ave, Freeport, NY 11520 | Registered Nurse | ~ |
| Fitzroy George Walker | 206 Saint Marks Ave, Freeport, NY 11520 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Troy Eisner | 429 Atlantic Avenue, Freeport, NY 11520 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Kemesha Charles | 64 Mount Joy Avenue, Freeport, NY 11520 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Dependable Windows Co Inc | 409 North Main St, Freeport, NY 11520 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Michael S Carrington | 26 Maryland Avenue, Freeport, NY 11520 | Notary Public Appointment | 2002-07-01 ~ 2007-06-30 |
| Allied Corp | 46 East Ave, Freeport, NY 11520 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Barbara H Micciulli · Higgins | 288 Park Avenue, Freeport, NY 11520 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 11520 | |||
| City | Freeport |
| Zip Code | 11520 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Freeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara J Wallace Pa | 512 Scenic Rd, Orange, CT 06477 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Nicole M Pillsbury | 102 Wallace Hill Rd, Townsend, MA 01469-1109 | Physician Assistant | 2017-04-01 ~ 2018-03-31 |
| Cedric A Robtoy · Cedric Robtoy Painting | 193 Arvidson Rd, Woodstock, CT 06281 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Cedric Jeffries | 349s S Balderston Dr, Exton, PA 19341-2006 | Occupational Therapist Assistant | 2020-02-25 ~ 2021-07-31 |
| Cedric Edwards | 222 Southlakes Drive, Grenada, MS 38901 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sir Cedric Abraham Ibanez IIi | 4 West View Drive, Apt. K, Bloomfield, CT 06002 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Cedric Bardin Sancerre | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-02-03 ~ 2015-02-02 |
| Wallace Company Inc · C Robert Wallace | 28 N Main St, W Hartford, CT 06107-1928 | Real Estate Broker | 2001-04-01 ~ 2002-03-31 |
| Stacey G Heenie | 60 Wallace Row, Wallingford, CT 06492 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Robert D Wallace | 3 Hart Rd, Guilford, CT 06437-1129 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on CEDRIC C WALLACE III.
| 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).