MARIETTA CATHERINE ROSE WYKSTRA (Credential# 1631901) is licensed (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.
MARIETTA CATHERINE ROSE WYKSTRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.158971. The credential type is registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 8401 Virgil Rd, Fabius, NY 13063-9765. The current status is active.
| Licensee Name | MARIETTA CATHERINE ROSE WYKSTRA |
| Credential ID | 1631901 |
| Credential Number | 10.158971 |
| Credential Type | Registered Nurse |
| Business Address |
8401 Virgil Rd Fabius NY 13063-9765 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-04 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1634104 | 10.158603-TEMP | Registered Nurse - Temporary | 2019-02-22 | 2019-02-22 - 2019-06-22 | INACTIVE |
| Street Address | 8401 VIRGIL RD |
| City | FABIUS |
| State | NY |
| Zip Code | 13063-9765 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delivan J Coykendall · Agway Inc | 7910 Main St, Fabius, NY 13063 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
| Candee A Bellows · Jones | 7607 Bryan Road, Fabius, NY 13063 | Licensed Practical Nurse | 1996-01-19 ~ 1996-12-31 |
| Allison T Kras | 8101 State Route 80, Fabius, NY 13063-8708 | Physical Therapist | 2015-11-01 ~ 2016-10-31 |
| Ann T Mcdonald | 7015 Chase Rd, Fabius, NY 13063-9738 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
| Lucas Harder | 1075 Bailey Rd, Fabius, NY 13063-9779 | Physical Therapist | 2020-05-26 ~ 2021-03-31 |
| City | FABIUS |
| Zip Code | 13063 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + FABIUS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine Davilmar | 984 Rose De Lima, Laval, H7E256 | Registered Nurse | ~ 1999-11-30 |
| Catherine C Canivan | 41 Rose Ct, Rocky Hill, CT 06067-4250 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Catherine V Meehan | 30 Wild Rose Court, Bloomfield, CT 06002 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Catherine Rose Disandro | 45 Lenape Road, Richboro, PA 18954 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Catherine Rose Czarneski | 3312 Bent Pine Dr, Fort Pierce, FL 34951-2965 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marietta Cellars Inc · Marietta Cellars | 22295 Chianti Road, Geyserville, CA 95441 | Out of State Winery | 2019-12-13 ~ 2020-12-12 |
| Kelly F Trusheim | 4120 Wandering Rose Ln, Marietta, GA 30062-6181 | Psychologist | 2020-01-01 ~ 2020-12-31 |
| Catherine Rose Geriak | 189 Quail Street, Stratford, CT 06614 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Marietta Frias | Po Box 92, Canaan, NH 03741-0092 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Rudolph J Hornyak | 218 S 6th St, Marietta, OH 45750-3242 | Registered Nurse | 2016-02-19 ~ 2016-09-30 |
Please comment or provide details below to improve the information on MARIETTA CATHERINE ROSE WYKSTRA.
| 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).