JENNIFER FORMAN (Credential# 1518939) is licensed (Licensed Practical 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.
JENNIFER FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.041644. The credential type is licensed practical nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 13 Lea Lane, New Milford, CT 06776. The current status is active.
| Licensee Name | JENNIFER FORMAN |
| Credential ID | 1518939 |
| Credential Number | 11.041644 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
13 Lea Lane New Milford CT 06776 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-03 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-28 |
| Street Address | 13 Lea lane |
| City | New Milford |
| State | CT |
| Zip Code | 06776 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
| Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
| Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Find all Licenses in zip 06776 | |||
| City | New Milford |
| Zip Code | 06776 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + New Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan C Forman | 95 Pilgrim Rd, Bristol, CT 06010 | Licensed Practical Nurse | 2017-09-01 ~ 2018-08-31 |
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Ce Forman T V & Applian · Forman T V & Appliance | E Liberty St, Chester, CT 06412 | Tv & Radio Service Dealer | ~ |
| Jennifer A Duh | 28 First Ave, Seymour, CT 06483-3415 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Jennifer S Forman | 8 Lyle Ct Unit I, Farmington, CT 06032-3588 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Jennifer R Webb | 420 Ruder St, Wausau, WI 54403-6603 | Licensed Practical Nurse | ~ |
| Jennifer J Barnum | 19 5th St, Ansonia, CT 06401-1656 | Licensed Practical Nurse | 2016-01-01 ~ 2016-12-31 |
| Jennifer A Celona | 3 Editha Ave, Agawam, MA 01001-2721 | Licensed Practical Nurse | ~ |
| Jennifer M Benson | Po Box 428, Kent, CT 06757-0428 | Licensed Practical Nurse | 2015-12-01 ~ 2016-11-30 |
| Jennifer M Tuthill | 270 Rt 87, Columbia, CT 06237-1308 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on JENNIFER FORMAN.
| 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).