JASON I MERVIN (Credential# 1315995) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2021. The license status is ACTIVE.
JASON I MERVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.002041. The credential type is nursing home administrator. The effective date is October 1, 2019. The expiration date is September 30, 2021. The business address is 219 Columbia Blvd, Waterbury, CT 06710-1402. The current status is active.
| Licensee Name | JASON I MERVIN |
| Credential ID | 1315995 |
| Credential Number | 36.002041 |
| Credential Type | Nursing Home Administrator |
| Business Address |
219 Columbia Blvd Waterbury CT 06710-1402 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-08-23 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2019-09-04 |
| Street Address | 219 COLUMBIA BLVD |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710-1402 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheryl Rose Mervin | 219 Columbia Blvd, Waterbury, CT 06710-1402 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Horace C Burton | 219 Columbia Blvd, Waterbury, CT 06710 | Notary Public Appointment | 1980-03-28 ~ 1985-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claire A Free Md | 25 Columbia Blvd, Waterbury, CT 06710 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jayni M Alvarez | 196 Cooke Street, Waterbury, CT 06710 | Eyelash Technician | ~ |
| Becky Mayer | 4 Kenilworth St, Waterbury, CT 06710 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Waterbury Pizza House LLC | 701 Cooke St, Waterbury, CT 06710 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deaja Sands | 14 Columbia Blvd, Waterbury, CT 06710 | Medication Administration Certification | 2020-06-18 ~ 2022-06-18 |
| Lee M Zarrelli | 170 Roseland Ave, Waterbury, CT 06710 | Plumbing & Piping Unlimited Journeyperson | 2019-11-14 ~ 2020-10-31 |
| Cindy J Dove | 102 Waverly Street, Waterbury, CT 06710 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Paul D Murphy | 109 Willow St, Waterbury, CT 06710 | Embalmer | 2020-09-01 ~ 2021-08-31 |
| Marianne Smith | 86 White St, Waterbury, CT 06710 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ariel Najia Goodman | 84 Oakland Ave., Waterbury, CT 06710 | Esthetician | ~ |
| Find all Licenses in zip 06710 | |||
| City | WATERBURY |
| Zip Code | 06710 |
| License Type | Nursing Home Administrator |
| License Type + County | Nursing Home Administrator + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason G Chillingsworth | 53 Heather Ln, New Britain, CT 06053-1915 | Nursing Home Administrator | ~ |
| Jason T Munro | 7730 Hanover Pkwy Apt 304, Greenbelt, MD 20770-2622 | Nursing Home Administrator | 2015-01-01 ~ 2016-12-31 |
| Michael E Bell | CT | Nursing Home Administrator | ~ |
| Patrick W Lyons | CT | Nursing Home Administrator | ~ |
| Arunava De | 350 Cobbler Ln, Southbury, CT 06488-4641 | Nursing Home Administrator | ~ |
| Richard F Ide | P.o. Box 73, Ashford, CT 06278 | Nursing Home Administrator | 2004-06-07 ~ 2006-04-30 |
| Kimberly D Brown | Apt 303, Groton, CT 06340 | Nursing Home Administrator | ~ |
| Gabriel N Tanwani | Po Box 631, Randallstown, MD 21133-0631 | Nursing Home Administrator | ~ |
| Ray Cyr | 18 Elizabeth Rd, Bolton, CT 06043 | Nursing Home Administrator | 2020-03-01 ~ 2022-02-28 |
| Janice S Bariffe | 17 May Ln, Bloomfield, CT 06002-3321 | Nursing Home Administrator | ~ |
Please comment or provide details below to improve the information on JASON I MERVIN.
| 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).