MARYANN B ROIK (Credential# 1205653) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.
MARYANN B ROIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.005691. The credential type is advanced practice registered nurse. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is Po Box 157, Holmdel, NJ 07733-0157. The current status is inactive.
Licensee Name | MARYANN B ROIK |
Credential ID | 1205653 |
Credential Number | 12.005691 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
Po Box 157 Holmdel NJ 07733-0157 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-02-27 |
Effective Date | 2018-06-01 |
Expiration Date | 2019-05-31 |
Refresh Date | 2019-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1201675 | 10.116948 | Registered Nurse | 2014-02-27 | 2018-06-01 - 2019-05-31 | INACTIVE |
1241038 | CSP.0058558 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-21 | 2017-03-01 - 2019-02-28 | LAPSED |
1204478 | 10.116192-TEMP | Registered Nurse - Temporary | 2014-01-30 | 2014-01-30 - 2014-05-29 | INACTIVE |
Street Address | PO BOX 157 |
City | HOLMDEL |
State | NJ |
Zip Code | 07733-0157 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian Tsai | 77 Longstreet Rd, Holmdel, NJ 07733 | Dentist | 2020-06-01 ~ 2021-06-30 |
Constantinos J Lovoulos Md | 14 Rambling Brook Dr., Holmdel, NJ 07733 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Tariq Bashir | 7 White Rock Terrace, Holmdel, NJ 07733 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
Djenane Bartholomew | 23 Dora Lane, Holmdel, NJ 07733 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Lisa R Levine-rostowsky | 7 Hickory Hills Ct, Holmdel, NJ 07733 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Gerri Z. Decicco | 7 Fernwood Ct, Holmdel, NJ 07733 | Certified Public Accountant License | 2018-01-01 ~ 2018-12-31 |
France M Senoran | 105 Nutmeg Ln, Holmdel, NJ 07733 | Real Estate Salesperson | 2003-06-01 ~ 2004-05-31 |
Havens & Emerson Inc | 5 Flora Dr, Holmdel, NJ 07733 | Professional Engineer | 1989-03-01 ~ 1990-01-31 |
Chin L Chung · Seelye Stvnsn Vlue&kncht | 7 Crestwood Ct, Holmdel, NJ 07733 | Professional Engineer | 1993-04-05 ~ 1994-01-31 |
Jessie C Fu | 5 Eagle Hill Rd, Holmdel, NJ 07733 | Professional Engineer | 1991-01-02 ~ 1992-01-31 |
Find all Licenses in zip 07733 |
City | HOLMDEL |
Zip Code | 07733 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + HOLMDEL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maryann Bruno | 1514 Ninth Street, Fort Lee, NJ 07024 | Advanced Practice Registered Nurse | 1993-07-23 ~ 1994-08-31 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Ann Mullins | 885 Enon Ln, Bolivar, TN 38008-3851 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Dianne E Carter | 26 Pal Dr, Shrewsbury, MA 01545 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-05-31 |
Jacqueline M Havriliak | P O Box 427, Wayne, PA 19087 | Advanced Practice Registered Nurse | 2002-01-14 ~ 2003-02-28 |
Nicole M Frost | Po Box 25, Poquonock, CT 06064 | Advanced Practice Registered Nurse | 2016-11-01 ~ 2017-10-31 |
Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
Kathleen A. Nopper | 400 Elm, West Haven, CT 06516 | Advanced Practice Registered Nurse | ~ |
Maury G Barrett | 185 Massachusetts Ave Apt 803, Boston, MA 02115-3035 | Advanced Practice Registered Nurse | ~ |
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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).