MARK CAMILE HIZON (Credential# 1347866) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2018. The license expiration date date is October 31, 2019. The license status is INACTIVE.
MARK CAMILE HIZON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.133670. The credential type is registered nurse. The effective date is November 1, 2018. The expiration date is October 31, 2019. The business address is 192 Summerville Drive Apt F207, Tamuning, GU 96913-4378. The current status is inactive.
Licensee Name | MARK CAMILE HIZON |
Credential ID | 1347866 |
Credential Number | 10.133670 |
Credential Type | Registered Nurse |
Business Address |
192 Summerville Drive Apt F207 Tamuning GU 96913-4378 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2016-04-22 |
Effective Date | 2018-11-01 |
Expiration Date | 2019-10-31 |
Refresh Date | 2020-02-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1348076 | 10.133552-TEMP | Registered Nurse - Temporary | 2016-04-18 | 2016-04-18 - 2016-08-15 | INACTIVE |
Street Address | 192 SUMMERVILLE DRIVE APT F207 |
City | TAMUNING |
State | GU |
Zip Code | 96913-4378 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Virginia Madison Petsos Sciacchitano | 825 Pale San Vitores Road, Tamuning, GU 96913 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Adrian Michael Medina | 187 Tun Josen Emeterian Camacho St., Tamuning, GU 96913 | Advanced Practice Registered Nurse | ~ |
Carrie E Margeson | 125 Dungca Beach Way, Tamuning, GU 96913 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Janice K Lee · Connecticut Referral Group LLC | Villa Kanton Tasi #3b, Tumon, GU 96913 | Real Estate Salesperson | 2001-06-01 ~ 2002-05-31 |
Shirley A Arriola | 117 Route 8, Barrigada, GU 96913 | Pharmacist | 1800-12-27 ~ 1990-03-31 |
Sho Y Argueza | 140 Porsche Palting Ln Apt C5, Tamuning, GU 96913-3932 | Physical Therapist | 2017-03-01 ~ 2018-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James C Mcferran | Po Box 11652, Tamuning, GU 96931-1652 | Engineer-in-training | 2003-06-10 ~ 2013-06-10 |
City | TAMUNING |
Zip Code | 96913 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + TAMUNING |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Camile Lee | 394 Anton Dr, Bridgeport, CT 06606-1738 | Registered Nurse | 2019-10-08 ~ 2020-06-30 |
Camile Lynn Thibodeau | 16 Liberty Ln, Clinton, CT 06413-2409 | Registered Nurse | ~ |
Kasey Camile Olsen | 146 Scott Rd, Terryville, CT 06786 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Camile A Rivera | 59 Middlesex St, Springfield, MA 01109 | Licensed Practical Nurse | 2004-02-02 ~ 2005-01-31 |
Amy M Levins | 37 Camile Road, Webster, MA 01570 | Dental Hygienist | 2006-09-18 ~ 2007-11-30 |
Christine A Terranova | 36 Camile Rd, Webster, MA 01570 | Dental Hygienist | 2019-10-01 ~ 2020-09-30 |
Camile Carter | 214 High Street, Bristol, CT 06010 | Medication Administration Certification | 2019-10-13 ~ 2021-10-12 |
Nichole M Mailloux Aprn | 30 Camile Rd, Webster, MA 01570 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Camile Ruhm | 120 Holcomb Street, Hartford, CT 06112-1589 | Medication Administration Certification | 2013-03-17 ~ 2015-03-16 |
Camile C Grajales | 163 Eldridge Street, Manchester, CT 06040 | Family Child Care Home | ~ 2002-08-31 |
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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).