LISA BAZOS (Credential# 1458875) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
LISA BAZOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.148000. The credential type is registered nurse. The effective date is February 1, 2018. The expiration date is February 28, 2019. The business address is 11145 76th Ave Apt 54b, Forest Hills, NY 11375-6400. The current status is inactive.
| Licensee Name | LISA BAZOS |
| Credential ID | 1458875 |
| Credential Number | 10.148000 |
| Credential Type | Registered Nurse |
| Business Address |
11145 76th Ave Apt 54b Forest Hills NY 11375-6400 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-02-01 |
| Effective Date | 2018-02-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1460939 | 10.146557-TEMP | Registered Nurse - Temporary | 2017-11-13 | 2017-11-13 - 2018-03-12 | INACTIVE |
| Street Address | 11145 76TH AVE APT 54B |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-6400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Berta Shchegol | 110-24 67th Drive, Forest Hills, NY 11375 | Dentist | ~ |
| Lawrence M Rosenbloom | 110-11 Queens Blvd., Forest Hills, NY 11375 | Architect | 2020-08-01 ~ 2021-07-31 |
| Beatrice E Hunt | 43 Exeter St, Forest Hills, NY 11375 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elena Chachik | 108-25 72 Ave 3b, Forest Hills, NY 11375 | Dentist | 2020-06-10 ~ 2021-03-31 |
| Lina F Spartos | 99-15 Ascan Ave., Forest Hills, NY 11375 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Isabella Mihaelson | 100-10 67th Rd #4-g, Forest Hills, NY 11375 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Co B Quang | 102-30 66th Road #3a, Forest Hills, NY 11375 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Benjamin V Katayev · Vladislav | 110-35 67 Drive, Forest Hills, NY 11375 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Yulian Aminov | 112-11 69th Avenue, Forest Hill, NY 11375 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Laura Marilyn Soriano | 7714 113th St, Forest Hills, NY 11375 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 11375 | |||
| City | FOREST HILLS |
| Zip Code | 11375 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + FOREST HILLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew Bazos | Orthoconnecticut, PC, New Milford, CT 06776 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lisa Anderson · Wieczorek Lisa | 20 Blueberry Circle, Ellington, CT 06029 | Licensed Practical Nurse | 2019-07-01 ~ 2020-06-30 |
| Lisa D Harris | Po Box 251, Denton, NC 27239-0251 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Lisa Burton | 27 Plains Rd Apt C7, Essex, CT 06426-1503 | Registered Nurse | ~ |
| Lisa A Banks | 265 Oak St., Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa Kay Gibboney | 110 Ironclad Dr, Columbus, OH 43213 | Registered Nurse | 2019-11-14 ~ 2020-10-31 |
| Lisa M Kolkman | 793 F Mix Ave, Hamden, CT 06514 | Registered Nurse | 2004-04-22 ~ 2005-04-30 |
| Lisa A Menard | P.o. Box 413, Winsdor, VT 05089 | Registered Nurse | 2004-01-07 ~ 2004-12-31 |
| Lisa Thomson | P.o. Box 1275 | Registered Nurse | 2002-12-03 ~ 2003-10-31 |
| Lisa L Hardy | 40 Sea St #1, New Haven, CT 06519 | Registered Nurse | 2004-01-23 ~ 2005-03-31 |
Please comment or provide details below to improve the information on LISA BAZOS.
| 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).