SHELLY R PETERSON (Credential# 1222755) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
SHELLY R PETERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.038936. The credential type is licensed practical nurse. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 57 Church St, Kensington, CT 06037-2162. The current status is active.
| Licensee Name | SHELLY R PETERSON |
| Credential ID | 1222755 |
| Credential Number | 11.038936 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
57 Church St Kensington CT 06037-2162 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-27 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-09-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 356660 | PTN.0006328 | PHARMACY TECHNICIAN | 2009-04-01 - 2010-03-31 | INACTIVE |
| Street Address | 57 CHURCH ST |
| City | KENSINGTON |
| State | CT |
| Zip Code | 06037-2162 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Cannon | 43 Church St, Berlin, CT 06037-2162 | Family Child Care Home | ~ |
| Corey Cannon | 43 Church St, Berlin, CT 06037-2162 | Family Child Care Substitute | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolanta Wilinski-pelech | 163 Hillside Rd, Berlin, CT 06037 | Esthetician | ~ |
| Susann A Pavano | 67 Hickory Hill Rd, Kensington, CT 06037 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marco A Giannone | 101 Grapevine Lane, Berlin, CT 06037 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Linda A Giove | 48 Winding Meadow D, Kensington, CT 06037 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Kevin P Gallagher | 206 Fairview Dr, Berlin, CT 06037 | Embalmer | 2020-07-01 ~ 2021-06-30 |
| Stephanie M Sadlowski | 28 Cynthia Drive, Kensington, CT 06037 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Violet Pastorkova-jaouen | 959 Four Rod Road, Berlin, CT 06037 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Constantine S Buonanno Dmd | 1105 Farmington Ave, Kensington, CT 06037 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Lisa Divalentino | 23 Garden Drive, Kensington, CT 06037 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| William Dornfried | 240 Kensington Road, Berlin, CT 06037 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06037 | |||
| City | KENSINGTON |
| Zip Code | 06037 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + KENSINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shelly Patrick | 198 Red Oak, Waverly, TN 37185 | Licensed Practical Nurse | 2004-07-01 ~ 2005-07-31 |
| Shelly M Volpe | 200 Litton Ave, Groton, CT 06340-4524 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Shelly A Mora | 82 Longview St Apt 48, Waterford, CT 06385-3025 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Shelly C Lombardi | 50 Montoya Cir, Branford, CT 06405-2549 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Shelly Levesque | 236 East St Apt C2, Plainville, CT 06062-2966 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Shelly-ann Naheelah Mckenzie | 73 Earle St Fl 2, Hartford, CT 06120-1715 | Licensed Practical Nurse | 2020-05-05 ~ 2020-08-31 |
| Shelly L Garcia | 7399 Maple Ave Ext, Sodus, NY 14551 | Licensed Practical Nurse | 2002-02-22 ~ 2002-07-31 |
| Shelly A Cappucci | 51 Tidewater Dr W, South Kingstown, RI 02879-5607 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Shelly-ann James-scarlett | 214 Saybrooke St, Hartford, CT 06106-3461 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Shelly S Wesley-givans | 15 School St Apt 31, Norwalk, CT 06851-4656 | Licensed Practical Nurse | 2014-11-01 ~ 2015-10-31 |
Please comment or provide details below to improve the information on SHELLY R PETERSON.
| 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).