ALICIA M. WILLS PA-C (Credential# 953528) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
ALICIA M. WILLS PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002477. The credential type is physician assistant. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 39 Ives St Unit 504, Hamden, CT 06518-2240. The current status is inactive.
| Licensee Name | ALICIA M. WILLS PA-C |
| Credential ID | 953528 |
| Credential Number | 23.002477 |
| Credential Type | Physician Assistant |
| Business Address |
39 Ives St Unit 504 Hamden CT 06518-2240 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-09-20 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1150661 | CSP.0054265 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-02-25 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 968783 | CSP.0049056 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-06 | 2011-03-07 - 2013-02-28 | INACTIVE |
| Street Address | 39 IVES ST UNIT 504 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-2240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomia D Campbell | 39 Ives St Unit 504, Hamden, CT 06518-2240 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Brandon R Mancini | 39 Ives St Unit 504, Hamden, CT 06518-2240 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amita Kulkarni Dds | 39 Ives St Unit 505, Hamden, CT 06518-2240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia C Szostak | 40 Ashley Ln, Colchester, CT 06415-1642 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Alicia K Beardsley | 6 Douglass Road, Hyde Park, NY 12538 | Physician Assistant | ~ |
| Alicia Maria Gettel | 219 High St, Milford, CT 06460-3250 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Robert Wills · Ribert Wills Renovations | 19 Egret Ln, Westerly, RI 02891-4417 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Richard A Wills | 203 Hog Hill Road, East Hampton, CT 06424 | Occupational Therapist Assistant | 2005-05-27 ~ 2007-07-31 |
| Delinda D Wills | 21 Temple St Apt 605, Hartford, CT 06103-1312 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Meagan Channing Wills | 20 York St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Marcia Wills | One Cranberry Hill, Lexington, MA 02421 | Physician/surgeon | 2017-07-05 ~ 2018-04-30 |
| John J Wills Painting Co LLC | 108 Parker Hill Road Ext, Killingworth, CT 06419-2310 | Home Improvement Contractor | 2020-03-25 ~ 2020-11-30 |
| Wills Company Realtors Inc (the) | 33 Regatta Dr, Niantic, CT 06357-1643 | Real Estate Broker | 2016-04-01 ~ 2017-03-31 |
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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).