KOLU STEPHANIE BAYSAH CLARK (Credential# 1607117) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
KOLU STEPHANIE BAYSAH CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12. The credential type is advanced practice registered nurse. The business address is 149 Pomona Ave, Providence, RI 02908-5123. The current status is expired application.
| Licensee Name | KOLU STEPHANIE BAYSAH CLARK |
| Credential ID | 1607117 |
| Credential Number | 12 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
149 Pomona Ave Providence RI 02908-5123 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION - EXPIRED APPLICATION |
| Refresh Date | 2020-02-12 |
| Street Address | 149 POMONA AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-5123 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olivia S Locker | 302 Eaton St, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexandra Jimenez | 405 Promenade Street, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Juan O Silfa | 15 Amity St., Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Caitlyn M. Bouchard | 685 River Ave, Providence, RI 02908 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
| Brandon Russell Sweet | 38 Durham Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Howard J Sellers | 88 Jewett Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Khonesavanh Misay | 25 Rosebank Avenue, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Alan R Morrison | Providence Va Medical Center, Providence, RI 02908 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tiffany Acosta | 34 Veazie St 3rd Flr, Providence, RI 02908 | Registered Nurse | ~ |
| Tomas I Perez | 80 Farragut Ave, Providence, RI 02908 | Professional Engineer | 2019-06-21 ~ 2020-01-31 |
| Find all Licenses in zip 02908 | |||
| City | PROVIDENCE |
| Zip Code | 02908 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie M Lajeunesse | 124 Elizabeth Ave, Westfield, MA 01085-1713 | Advanced Practice Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Stephanie R Mocarsky | 530 Riverside Dr, Cheshire, CT 06410-1815 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Stephanie L Carper | 18 Holland Ave, Groton, CT 06340 | Advanced Practice Registered Nurse | 2018-01-01 ~ 2018-12-31 |
| Stephanie Manheim | 211 E 70th St Apt 22g, New York, NY 10021-5209 | Advanced Practice Registered Nurse | 2020-06-12 ~ 2021-05-31 |
| Stephanie Nicole Gregory | 245 5th Ave, New York, NY 10016 | Advanced Practice Registered Nurse | 2020-05-27 ~ 2020-12-31 |
| John D Pina | 37 Stephanie Pl, New Bedford, MA 02745-1952 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Stephanie A Balint | 278 Hobart St, Southington, CT 06489-3333 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Stephanie T Adams | 35 Laurel Heights Rd, Norwich, CT 06360-7301 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Stephanie C Brown Aprn | 738 Hightower Way, Webster, NY 14580-2514 | Advanced Practice Registered Nurse | 2010-08-01 ~ 2011-07-31 |
| Stephanie P Schilling | 82 State Street, Guilford, CT 06437-2874 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on KOLU STEPHANIE BAYSAH CLARK.
| 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).