INTISAR IBRAHIM (Credential# 1643830) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
INTISAR IBRAHIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008879. The credential type is advanced practice registered nurse. The effective date is June 1, 2020. The expiration date is June 30, 2021. The business address is 98 Hamilton Ave, Lodi, NJ 07644-1408. The current status is active.
| Licensee Name | INTISAR IBRAHIM |
| Credential ID | 1643830 |
| Credential Number | 12.008879 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
98 Hamilton Ave Lodi NJ 07644-1408 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1643806 | 10.169309 | Registered Nurse | 2020-03-10 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 1643811 | 10.159744-TEMP | Registered Nurse - Temporary | 2019-04-02 | 2019-04-02 - 2019-07-31 | INACTIVE |
| Street Address | 98 HAMILTON AVE |
| City | LODI |
| State | NJ |
| Zip Code | 07644-1408 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alma R Garcia Md | 175 Saint Joseph Boulevard, Lodi, NJ 07644 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Devan Solanki | 115 Richmond Street, Lodi, NJ 07644 | Emergency Medical Technician | ~ |
| Jeffry Ramon Veloz Consuegra | 265 Union Street, Lodi, NJ 07644 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Ermir Berberi | 332 Church Street, Lodi, NJ 07644 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Lixia Wang | 44 Putnam Street, Lodi, NJ 07644 | Massage Therapist | 2019-03-01 ~ 2021-02-28 |
| Lambe Pintoski | 65 Hamilton Avenue, Lodi, NJ 07644 | Asbestos Abatement Supervisor | 2012-05-01 ~ 2013-04-30 |
| Maria E Mejia | 12 Corabelle Ave #2, Lodi, NJ 07644 | Asbestos Abatement Worker | 2009-04-14 ~ 2010-05-31 |
| Nove Koroskoski | 12 Mckinley Avenue, Lodi, NJ 07644 | Asbestos Abatement Worker | 2009-03-19 ~ 2010-02-28 |
| Rosa Garcia | 149 Garibaldi Ave., Apt. 3, Lodi, NJ 07644 | Asbestos Abatement Supervisor | 2009-04-06 ~ 2009-12-31 |
| Oscar M Ronquillo | 154 Norwood Ave., Lodi, NJ 07644 | Asbestos Abatement Worker | 2009-06-30 ~ 2009-10-31 |
| Find all Licenses in zip 07644 | |||
| City | LODI |
| Zip Code | 07644 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + LODI |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ibrahim & Ibrahim Engrs | 42 Border St, Deedham, MA 02026 | Professional Engineer | 1988-03-11 ~ 1989-01-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Byrnes | Po Box 777, Copake, NY 12516 | Advanced Practice Registered Nurse | 2006-07-14 ~ 2007-08-31 |
| Mary T Miller | 55 3rd St, Worcester, MA 01602-3421 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Francisco Laureano IIi | P.o. Box 234, Stratford, CT 06615 | Advanced Practice Registered Nurse | 2007-02-01 ~ 2008-02-29 |
| Chieu Le | 113 Willow St, Chelsea, MA 02150-3306 | Advanced Practice Registered Nurse | 2016-10-27 ~ 2017-08-31 |
| Tim G Bombard | 694 Palisado Ave, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Sue A Smolski | 39 Farmington Ave, Plainville, CT 06062 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
| Maria Magliacano | 117 Elm Pl, New Canaan, CT 06840-6310 | Advanced Practice Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Cynthia A Ely | 30 Deepwood Rd, Wilton, CT 06897-4201 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on INTISAR IBRAHIM.
| 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).