SHIRLEY A BLACK (Credential# 1205860) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 27, 2014. The license expiration date date is November 30, 2014. The license status is INACTIVE.
SHIRLEY A BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.116927. The credential type is registered nurse. The effective date is February 27, 2014. The expiration date is November 30, 2014. The business address is 134 Lake Road, Dayville, CT 06241. The current status is inactive.
| Licensee Name | SHIRLEY A BLACK |
| Credential ID | 1205860 |
| Credential Number | 10.116927 |
| Credential Type | Registered Nurse |
| Business Address |
134 Lake Road Dayville CT 06241 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-02-27 |
| Effective Date | 2014-02-27 |
| Expiration Date | 2014-11-30 |
| Refresh Date | 2015-03-05 |
| Street Address | 134 LAKE ROAD |
| City | DAYVILLE |
| State | CT |
| Zip Code | 06241 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika L Higgins | 56 Philip Lane, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Chrystina Mary Pelletier | 27 Huntley Rd, Dayville, CT 06241 | Esthetician | ~ |
| Elaine Marie Gazzola | 131 Lake Road, Dayville, CT 06241 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Pepin | 239 Hartford Pike, Dayville, CT 06241 | Medication Administration Certification | 2020-06-09 ~ 2022-06-08 |
| Kelly Belanger · Donovan | 61 Pleasant View Dr, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Neysha Larkin | 323 Coomer Hill Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Michael Phillips | 94 Mason Hill Rd, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Vy Nguyen | 31 Ware Rd, Dayville, CT 06241 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Melissa L Seiffert · Theroux Gaudette | 59 Stone Road, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cristie Mitchell | 479 Valley Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Find all Licenses in zip 06241 | |||
| City | DAYVILLE |
| Zip Code | 06241 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + DAYVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirley P Taylor | 1026 Black Rock Tpk, Fairfield, CT 06825 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Shirley Black | 151 Sheldon Road, Manchester, CT 06042 | Medication Administration Certification | 2016-11-16 ~ 2018-11-15 |
| Shirley C Ngo | 660 Mix Ave Apt 6m, Hamden, CT 06514-2384 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Shirley J Cook | P O Box 173, Eastham, MA 02642 | Registered Nurse | 1995-01-11 ~ 1996-03-31 |
| Shirley T Wagner | Rr#2 Box 132, Sheffield, VT 05866 | Registered Nurse | 1994-07-15 ~ 1995-09-30 |
| Shirley A Russell | Box 62, Wingdale, NY 12594 | Registered Nurse | 1993-03-24 ~ 1994-04-30 |
| Shirley J Dahlgren | Po Box 677, Verplanck, NY 10596 | Registered Nurse | 2015-11-02 ~ 2016-11-30 |
| Shirley M Lee | 40 Helen St, Hamden, CT 06514 | Registered Nurse | 2003-05-29 ~ 2004-07-31 |
| Shirley J Cummings | P.o. Box 54, Kensington, OH 44427 | Registered Nurse | 1999-07-16 ~ 1999-12-31 |
| Shirley M Mosczynski | 60 Oak St, Douglas, MA 01516 | Registered Nurse | 2014-04-01 ~ 2015-03-31 |
Please comment or provide details below to improve the information on SHIRLEY A BLACK.
| 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).