ANGIE M JACARUSO (Credential# 1074355) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
ANGIE M JACARUSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.106544. The credential type is registered nurse. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 32105 Modoc Point Rd, Chiloquin, OR 97624-9708. The current status is active.
| Licensee Name | ANGIE M JACARUSO |
| Credential ID | 1074355 |
| Credential Number | 10.106544 |
| Credential Type | Registered Nurse |
| Business Address |
32105 Modoc Point Rd Chiloquin OR 97624-9708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-07-05 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-06-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 880325 | 72.002118 | Paramedic | 2006-05-24 | 2016-09-01 - 2017-08-31 | INACTIVE |
| 748834 | 26.001916 | Respiratory Care Practitioner | 2002-08-01 | 2016-09-01 - 2017-08-31 | INACTIVE |
| 871870 | 70.971191 | Emergency Medical Technician | 1997-06-30 | 2005-10-13 - 2006-12-31 | INACTIVE |
| Street Address | 32105 MODOC POINT RD |
| City | CHILOQUIN |
| State | OR |
| Zip Code | 97624-9708 |
| City | CHILOQUIN |
| Zip Code | 97624 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + CHILOQUIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Jacaruso | 3429 Lilac Ave, Trevose, PA 19053 | Registered Nurse | 2004-05-11 ~ 2005-05-31 |
| Angie's Spa Inc. | 414 Albemarle Rd Apt 6a, Brooklyn, NY 11218-2335 | Public Charity | 2018-06-01 ~ 2019-05-31 |
| Angie Alexis | 6 21st Ave, Bay Shore, NY 11706-3113 | Registered Nurse | 2020-05-06 ~ 2020-12-31 |
| Angie M Swenson | 881 Goldfinch Dr, Waconia, MN 55387-1147 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Angie L Daigle | 210 Jeff Dr, Bourg, LA 70343-3542 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Angie C Mason | 456 Indigo Ridge Dr, Columbia, SC 29229-7156 | Registered Nurse | 2014-04-01 ~ 2015-03-31 |
| Angie Mashchenski | 7024 Amethyst Ln, Plano, TX 75025 | Registered Nurse | 2019-01-09 ~ 2019-05-31 |
| Angie Johnson | 933 Buckaroo Lane, Bonita, CA 91902 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Angie Oliver | 1451 Bridgewater Dr, Tarpon Springs, FL 34689-7036 | Registered Nurse | 2011-07-01 ~ 2012-07-31 |
| Angie Villanueva Natalio | Eastwood Residences, Ph 6a, Blk 8, Lot 14, Rizal, PH 1860 | Registered Nurse | 2019-10-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on ANGIE M JACARUSO.
| 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).