LISA A BURK (Credential# 1304693) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LISA A BURK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006279. The credential type is advanced practice registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 444 Wolcott Road, Wolcott, CT 06716. The current status is active.
| Licensee Name | LISA A BURK |
| Credential ID | 1304693 |
| Credential Number | 12.006279 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
444 Wolcott Road Wolcott CT 06716 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-09-02 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 933773 | 10.095567 | Registered Nurse | 2010-08-06 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 1308687 | CSP.0061418 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-09-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 439954 | PTN.0008398 | PHARMACY TECHNICIAN | 2006-06-02 | 2008-04-01 - 2009-03-31 | INACTIVE |
| 866009 | 70.940228 | Emergency Medical Technician | 1994-01-01 | 2000-02-01 - 2001-06-30 | INACTIVE |
| Street Address | 444 Wolcott Road |
| City | Wolcott |
| State | CT |
| Zip Code | 06716 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Estelle Loureiro | 90 Averyll Ave, Wolcott, CT 06716 | Esthetician | ~ |
| Mary Ann T Scozzafava | 4 Cambridge Drive, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Suzanne M Anderson · Andersen | 112 Potuccos Ring Road, Wolcott, CT 06716 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Wolcott Stove & Camping Ctr | 1623 Wolcott Rd, Wolcott, CT 06716 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Amanda L Thompson | 1529 Woodtick Road, Wolcott, CT 06716 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Brian Menzies | 11 Longmeadow Drive Extension, Wolcott, CT 06716 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Alayna Jean Freer | 5 Evas Terrace, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ronald S Jurzyk | 464 Wolcott Road, Wolcott, CT 06716 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Subway #11588 | 654 Wolcott Road, Wolcott, CT 06716 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Susan G Manzolino | 130 Long Meadow Dr, Wolcott, CT 06716 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06716 | |||
| City | Wolcott |
| Zip Code | 06716 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Wolcott |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Burton | 30 Orchard St, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Lisa M Woods | 385 Church St, Guilford, CT 06437 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa M Aldrich Aprn | Po Box 6528, Napa, CA 94581-1528 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Lisa Diamond Aprn | 136 Western Ave, Westfield, MA 01085 | Advanced Practice Registered Nurse | 2004-02-25 ~ 2005-03-31 |
| Lisa J Sendra | 16 Cherry Hill, Covington, LA 70433 | Advanced Practice Registered Nurse | 2008-12-17 ~ 2010-01-31 |
| Lisa A Rowe | 166 West Broad St Ste 301, Stamford, CT 06902 | Advanced Practice Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Lisa Ann Jaycox | 444 Forest Hills Blvd, Naples, FL 34113-7556 | Advanced Practice Registered Nurse | ~ |
| Lisa D Dorner | 399 Snapdragon Loop, Bradenton, FL 34212 | Advanced Practice Registered Nurse | 2017-04-01 ~ 2018-03-31 |
| Lisa M Spicer Aprn | 900 Madison Avenue, Bridgeport, CT 06606 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Lisa Meyers | 3928 Hidden, Rochester Hills, MI 48309 | Advanced Practice Registered Nurse | 1993-06-24 ~ 1994-06-30 |
Please comment or provide details below to improve the information on LISA A BURK.
| 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).