KELLY JEAN FORFA (Credential# 1631788) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
KELLY JEAN FORFA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.159942. The credential type is registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 825 Flanders Road, Coventry, CT 06238. The current status is active.
Licensee Name | KELLY JEAN FORFA |
Credential ID | 1631788 |
Credential Number | 10.159942 |
Credential Type | Registered Nurse |
Business Address |
825 Flanders Road Coventry CT 06238 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-04-16 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1634061 | 10.158594-TEMP | Registered Nurse - Temporary | 2019-02-22 | 2019-02-22 - 2019-06-22 | INACTIVE |
Street Address | 825 Flanders Road |
City | Coventry |
State | CT |
Zip Code | 06238 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
Find all Licenses in zip 06238 |
City | Coventry |
Zip Code | 06238 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + Coventry |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kelly Jean Embelton | 15 Scott Rd, Terryville, CT 06786-5715 | Registered Nurse | ~ |
Jean E Kelly | 740 Mississippi River Blvd S, Saint Paul, MN 55116-1069 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
Jean K Kelly | 1432 Monroe Tpke, Monroe, CT 06468-1478 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Michelle Forfa | 147 Edgewater Rd, Agawam, MA 01001-2381 | Occupational Therapist | 2020-04-16 ~ 2021-07-31 |
Kelly Jean Rudy | 111 Notch Rd, Bolton, CT 06043 | Licensed Practical Nurse | 2009-09-14 ~ 2009-12-16 |
Jean Dimir Jean Louis | 7904 Glen Oak Rd, Elkins Park, PA 19027 | Registered Nurse | ~ |
Anne D Fleishell-kelly · Kelly | 68 Musket Ridge Rd, Wilton, CT 06897 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Barbara A Kelly-gibbs · Kelly | 2450 Cherry Blossom, Suffolk, VA 23434 | Registered Nurse | 2007-02-12 ~ 2008-03-31 |
Maura E Kelly-sullivan · Kelly | 7698 Alta Cuesta, Cucamonga, CA 91730 | Registered Nurse | 1994-07-27 ~ 1995-07-31 |
Jean S Thomas-hallett · Jean Moore | 3185 Ellen Drive, Titusville, FL 32796 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
Please comment or provide details below to improve the information on KELLY JEAN FORFA.
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).