SAMANTHA A PULLIAM (Credential# 1213112) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2019. The license expiration date date is April 30, 2020. The license status is ACTIVE.
SAMANTHA A PULLIAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.118118. The credential type is registered nurse. The effective date is May 1, 2019. The expiration date is April 30, 2020. The business address is 147 Hampton St, Sag Harbor, NY 11963. The current status is active.
| Licensee Name | SAMANTHA A PULLIAM |
| Credential ID | 1213112 |
| Credential Number | 10.118118 |
| Credential Type | Registered Nurse |
| Business Address |
147 Hampton St Sag Harbor NY 11963 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-04-04 |
| Effective Date | 2019-05-01 |
| Expiration Date | 2020-04-30 |
| Refresh Date | 2019-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 847101 | 70.007368 | Emergency Medical Technician | 2006-06-28 | 2009-06-24 - 2011-12-31 | INACTIVE |
| 822979 | 69.005556 | Emergency Medical Responder | 2005-07-06 | 2005-07-06 - 2007-03-31 | INACTIVE |
| Street Address | 147 hampton st |
| City | sag harbor |
| State | NY |
| Zip Code | 11963 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luann R De Lesseps | 30 John Street, Sag Harbor, NY 11963 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sidney M Baker | 71 Ferry Road, Sag Harbor, NY 11963 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Ramona Albert | 72 Jermain Avenue, Sag Harbor, NY 11963 | Architect | 2019-08-01 ~ 2020-07-31 |
| Zachary T Crawford | 394 Main Street, Sag Harbor, NY 11963 | Landscape Architect | 2016-08-01 ~ 2017-07-31 |
| Ella L Westphal · Coldwell Banker Re Services Inc | 71 Harbor Dr, Sag Harbor, NY 11963 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Joan Healey Evans · Coldwell Banker R.e Serv Inc | 11 East Harbor Dr, Sag Harbor, NY 11963 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Virginia S English · Judith P Tibbetts | 42 Bay View Drive North, Sag Harbor, NY 11963 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Philip R. Tutino | Markowitz,fenelon, & Bank,llp, Sag Harbor, NY 11963 | Certified Public Accountant License | 2015-04-16 ~ 2015-12-31 |
| David L Fenelon | Po Box 366a, Sag Harbor, NY 11963 | Certified Public Accountant Certificate | ~ |
| Fenelon, Crowley & Tutino, Cpa, PC | P.o. Box 1829, Sag Harbor, NY 11963 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
| Find all Licenses in zip 11963 | |||
| City | sag harbor |
| Zip Code | 11963 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + sag harbor |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gwendolyn E Pulliam | 149 Jubilee Hill, Grover, MO 63040 | Registered Nurse | 2006-06-21 ~ 2006-10-31 |
| Carol Pulliam | 2708 Foothill Blvd Unit 112, La Crescenta, CA 91214-3516 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Sushun Pulliam | 616 Whalley Ave, New Haven, CT 06511-2911 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Calvin Pulliam | 526 Howe Ave Apt 1, Shelton, CT 06484-3181 | Hairdresser/cosmetician | 2019-06-26 ~ 2020-12-31 |
| Demetrias N Pulliam | 72 Englewood Ave Fl 3, Waterbury, CT 06705-1805 | Asbestos Abatement Supervisor | 2016-05-20 ~ 2017-04-30 |
| Carol Pulliam | 30 Roosevelt Ave, Stratford, CT 06615-6851 | Real Estate Salesperson | ~ |
| Alice J Pulliam | 37 Fan Hill Rd, Monroe, CT 06468-1826 | Emergency Medical Technician | 2012-09-04 ~ 2016-01-01 |
| Alton L Pulliam | 72 Richmond Hill Ave, Stamford, CT 06902-5738 | Asbestos Abatement Supervisor | 2018-02-09 ~ 2018-12-31 |
| Jason L Pulliam | 314 Aspen Dr, Lawrenceburg, KY 40342-1479 | Heating, Piping & Cooling Limited Journeyperson | 2015-09-01 ~ 2016-08-31 |
| Rita Pulliam | 98 Walnut Street 1st Floor, Willimantic, CT 06226 | Medication Administration Certification | 2019-07-01 ~ 2021-07-01 |
Please comment or provide details below to improve the information on SAMANTHA A PULLIAM.
| 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).