ELIZABETH M CHACKO (Credential# 1028031) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ELIZABETH M CHACKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.004801. The credential type is advanced practice registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 47 Chelsea Cir, Bethany, CT 06524-3387. The current status is active.
| Licensee Name | ELIZABETH M CHACKO |
| Credential ID | 1028031 |
| Credential Number | 12.004801 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
47 Chelsea Cir Bethany CT 06524-3387 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-09-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 994694 | 10.099628 | Registered Nurse | 2011-05-12 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 1034392 | CSP.0051442 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-09-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 994696 | 10.099327-TEMP | Registered Nurse - Temporary | 2011-04-25 | 2011-04-25 - 2011-08-23 | INACTIVE |
| 1028028 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 47 CHELSEA CIR |
| City | BETHANY |
| State | CT |
| Zip Code | 06524-3387 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bodet Correya | 47 Chelsea Cir, Bethany, CT 06524-3387 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stefanie D Tortora | 151 Watch Hill Rd, Branford, CT 06524-3387 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
| Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06524 | |||
| City | BETHANY |
| Zip Code | 06524 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + BETHANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Reshma S Chacko | 2121 Whitney Ave, North Haven, CT 06473-4359 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth S Doty | 77 Lee Dr, Southington, CT 06489-2926 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Elizabeth Heap | 25 Dover Rd, Longmeadow, MA 01106-1205 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Nicole Elizabeth Marden | 188 Tobacco St., Lebanon, CT 06249 | Advanced Practice Registered Nurse | ~ |
| Elizabeth Van Hell | 58 Park Ave, Old Greenwich, CT 06870-1714 | Advanced Practice Registered Nurse | 2019-11-05 ~ 2020-11-30 |
| Elizabeth A Galbrecht | 569 Whitney Ave Apt 3, New Haven, CT 06511-2236 | Advanced Practice Registered Nurse | 2016-06-01 ~ 2017-05-31 |
| Elizabeth A Roberts | P O Box 2015, Blairsville, GA 30512 | Advanced Practice Registered Nurse | 1996-06-20 ~ 1997-07-31 |
| Elizabeth C Hathaway | 326 Washington St, Norwich, CT 06360 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Elizabeth N Foster | 294 Woodchuck Ln, Harwinton, CT 06791-1513 | Advanced Practice Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Kelli A Reola | 110 Elizabeth Dr, New Hartford, CT 06057 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on ELIZABETH M CHACKO.
| 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).