NANCY D LOGAN PA (Credential# 981712) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2015. The license expiration date date is October 31, 2016. The license status is PENDING.
NANCY D LOGAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002566. The credential type is physician assistant. The effective date is November 1, 2015. The expiration date is October 31, 2016. The business address is 101 Ridge Trail Rd, Westfield, MA 01085-1446. The current status is pending.
| Licensee Name | NANCY D LOGAN PA |
| Credential ID | 981712 |
| Credential Number | 23.002566 |
| Credential Type | Physician Assistant |
| Business Address |
101 Ridge Trail Rd Westfield MA 01085-1446 |
| Business Type | INDIVIDUAL |
| Status | PENDING - REINSTATEMENT APPLICATION PENDING |
| Issue Date | 2011-04-13 |
| Effective Date | 2015-11-01 |
| Expiration Date | 2016-10-31 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 984878 | CSP.0049637 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-04-21 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 101 RIDGE TRAIL RD |
| City | WESTFIELD |
| State | MA |
| Zip Code | 01085-1446 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jorge Alvarado | 83 Ridge Trail Rd, Westfield, MA 01085-1446 | Asbestos Abatement Supervisor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie M Winslow | 33 Cara Lane, Westfield, MA 01085 | Registered Nurse | 2020-06-20 ~ 2021-06-30 |
| Diana P Wigham | 1031 East Mountain Road, Westfield, MA 01085 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cathy A Roche | 56 Pequot Point Rd., Westfield, MA 01085 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| James Richard Vollinger | 139 Union Street, Westfield, MA 01085 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon L Scavotto | 196 Tannery Road, Westfield, MA 01085 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Christopher J Ferrero | 64 Ridge Trail Rd, Westfield, MA 01085 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Aimee C Tompkins | 2 Birch Terr, Westfield, MA 01085 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Jennifer B Wilson | 33 Raymond Cir, Westfield, MA 01085 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Patricia S Daley | 152 Elizabeth Ave, Westfield, MA 01085 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Cheryl-ann J Koval | 171 Wildflower Cir, Westfield, MA 01085 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 01085 | |||
| City | WESTFIELD |
| Zip Code | 01085 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WESTFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy J Whittaker · Logan's II | 155 Tower Avenue, Groton, CT 06340 | Restaurant Liquor | 1998-11-13 ~ 1999-11-12 |
| Logan and Logan Distributors Usa LLC | 10 La Rovera Ter, Ansonia, CT 06401-1555 | Home Improvement Contractor | 2019-12-16 ~ 2020-11-30 |
| Nancy Najarian Pa | 41 Fairway Dr, New Britain, CT 06053 | Physician Assistant | 2014-11-01 ~ 2015-10-31 |
| Nancy Lopez Pa | 815 South Rd, Westbrookville, NY 12785-0448 | Physician Assistant | 2015-08-01 ~ 2016-07-31 |
| Nancy Santaniello Pa | 81 Rhinebeck Ave, Springfield, MA 01129 | Physician Assistant | 2018-03-01 ~ 2019-02-28 |
| Nancy C Kelley | 24 Bayberry Ln, Redding, CT 06896-1828 | Physician Assistant | 2015-03-31 ~ 2015-11-30 |
| Nancy F Arena Pa | 85 Seymour St #700, Hartford, CT 06106 | Physician Assistant | 2006-02-01 ~ 2007-03-31 |
| Nancy E Jean | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2017-06-01 ~ 2018-05-31 |
| Nancy K Staley Pa | 21 Schilke Dr, Westerly, RI 02891-1402 | Physician Assistant | 2017-12-01 ~ 2018-11-30 |
| Nancy J Echausse | 245 Treetop Crescent, Rye Brook, NY 10573-1644 | 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).