SAMANTHA A NIZICH (Credential# 1352056) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
SAMANTHA A NIZICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.135321. The credential type is registered nurse. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 905 Mix Ave Apt 3h, Hamden, CT 06514-5149. The current status is active.
| Licensee Name | SAMANTHA A NIZICH |
| Credential ID | 1352056 |
| Credential Number | 10.135321 |
| Credential Type | Registered Nurse |
| Business Address |
905 Mix Ave Apt 3h Hamden CT 06514-5149 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-26 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1201867 | 70.017194 | Emergency Medical Technician | 2014-01-24 | 2016-02-25 - 2019-03-31 | INACTIVE |
| Street Address | 905 MIX AVE APT 3H |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514-5149 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyusung Lee | 905 Mix Ave Apt 3d, Hamden, CT 06514-5149 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-05-18 ~ 2021-10-31 |
| Tyler B Gendron | 905 Mix Ave Apt 3b, Hamden, CT 06514-5149 | Athletic Trainer | 2018-10-01 ~ 2019-09-30 |
| Young Ah Hwang | 905 Mix Ave Apt 3d, Hamden, CT 06514-5149 | Hairdresser/cosmetician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha M Clayton | 8 2nd Ave, Rensselaer, NY 12144-2810 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Samantha Gay | 29 Avery Rd, Somers, CT 06071-1539 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Samantha Kay Buhr | 605 5th St, Gering, NE 69341-3818 | Registered Nurse | 2018-01-25 ~ 2018-07-31 |
| Samantha M Ford | 21 Amy Dr, Windsor, CT 06095-2611 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Samantha V Mercer | 7 Lee Rd, Lisbon, CT 06351-3016 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Samantha L House | 12 Tamarack Cir, Trumbull, CT 06611-4616 | Registered Nurse | ~ |
| Samantha Salamon | 23 Harold St, Cos Cob, CT 06807 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Samantha B Queen | 325 2nd St, Blackstone, VA 23824-2119 | Registered Nurse | 2011-12-01 ~ 2012-11-30 |
| Samantha L Roy | 5 Coachman Pike, Ledyard, CT 06339 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Samantha E Lamark | 139 Plymouth Rd, Westbrook, CT 06498-1560 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on SAMANTHA A NIZICH.
| 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).