KETTLY CASSAMAJOR (Credential# 1402365) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KETTLY CASSAMAJOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006973. The credential type is advanced practice registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 106 Holcomb Ave, Stamford, CT 06906-2418. The current status is active.
| Licensee Name | KETTLY CASSAMAJOR |
| Credential ID | 1402365 |
| Credential Number | 12.006973 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
106 Holcomb Ave Stamford CT 06906-2418 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-21 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1082154 | 10.107837 | Registered Nurse | 2012-08-24 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 1413591 | CSP.0065057 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 106 HOLCOMB AVE |
| City | STAMFORD |
| State | CT |
| Zip Code | 06906-2418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jufen Wang | 256 Hope Street, Stamford, CT 06906 | Nail Technician | ~ |
| Soon Ja Eom | 26 Parker Ave # 2, Stamford, CT 06906 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katarzyna Zawadzki | 51 Norman Rd, Stamford, CT 06906 | Esthetician | ~ |
| Rebecca Theresa Mack | 76 Hope Street Apt B, Stamford, CT 06906 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Paramount Stone Inc | 338 Courtland Ave, Stamford, CT 06906 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Zesheng Jin | 301 Hope St, Stamford, CT 06906 | Nail Technician | 2020-06-17 ~ 2022-01-31 |
| Sherry A Twardy | 109 Courtland Hill Street, Stamford, CT 06906 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Chintan Patel · Crazy Grapes | 491 Hope St, Stamford, CT 06906 | Package Store Liquor | 2020-07-18 ~ 2021-07-17 |
| Cosmo J Iadanza | 251 Hope Street, Stamford, CT 06906 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Laura D Nardi | 96 Pine Tree Dr., Stamford, CT 06906 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Find all Licenses in zip 06906 | |||
| City | STAMFORD |
| Zip Code | 06906 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Angelica V. Hay | 85 Retreat Ave, Hartford, CT 06106-2555 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Maria Magliacano | 117 Elm Pl, New Canaan, CT 06840-6310 | Advanced Practice Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Marjorie A Arni | Po Box 682, Sharon, CT 06069 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Alice Bauman | P O Box 246, Ashby, MA 01431-0246 | Advanced Practice Registered Nurse | 2000-08-24 ~ 2001-09-30 |
| Christine M Byrnes | Po Box 777, Copake, NY 12516 | Advanced Practice Registered Nurse | 2006-07-14 ~ 2007-08-31 |
| Wanda Pothier | 78 Lee Cir, Pascoag, RI 02859-1313 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jacqueline M Havriliak | P O Box 427, Wayne, PA 19087 | Advanced Practice Registered Nurse | 2002-01-14 ~ 2003-02-28 |
| Mae Joy E Falk | 40 Nutmeg Ct, Middletown, CT 06457-2394 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on KETTLY CASSAMAJOR.
| 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).