CLARISSE FAIRBANKS (Credential# 1657611) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is May 21, 2020. The license expiration date date is January 31, 2022. The license status is ACTIVE.
CLARISSE FAIRBANKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.002128. The credential type is nursing home administrator. The effective date is May 21, 2020. The expiration date is January 31, 2022. The business address is 18 Juniper Ln, West Hartford, CT 06117-1126. The current status is active.
| Licensee Name | CLARISSE FAIRBANKS |
| Credential ID | 1657611 |
| Credential Number | 36.002128 |
| Credential Type | Nursing Home Administrator |
| Business Address |
18 Juniper Ln West Hartford CT 06117-1126 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-21 |
| Effective Date | 2020-05-21 |
| Expiration Date | 2022-01-31 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 375262 | CSP.0035328 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 646203 | 10.R46103 | Registered Nurse | 1990-08-01 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 681244 | 12.003066 | Advanced Practice Registered Nurse | 2004-06-02 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 18 JUNIPER LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-1126 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Oanh Nguyen | 6 Juniper Ln, West Hartford, CT 06117-1126 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-12-31 |
| Joslyn M Cruz | 14 Juniper Ln, West Hartford, CT 06117-1126 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Samuel K Li | 10 Juniper Ln, West Hartford, CT 06117-1126 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Yolanda R Taddei | 22 Juniper Ln, West Hartford, CT 06117-1126 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Nursing Home Administrator |
| License Type + County | Nursing Home Administrator + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Bell | CT | Nursing Home Administrator | ~ |
| Patrick W Lyons | CT | Nursing Home Administrator | ~ |
| Ray Cyr | 18 Elizabeth Rd, Bolton, CT 06043 | Nursing Home Administrator | 2020-03-01 ~ 2022-02-28 |
| Janice S Bariffe | 17 May Ln, Bloomfield, CT 06002-3321 | Nursing Home Administrator | ~ |
| Richard F Ide | P.o. Box 73, Ashford, CT 06278 | Nursing Home Administrator | 2004-06-07 ~ 2006-04-30 |
| Arunava De | 350 Cobbler Ln, Southbury, CT 06488-4641 | Nursing Home Administrator | ~ |
| Kimberly D Brown | Apt 303, Groton, CT 06340 | Nursing Home Administrator | ~ |
| Gabriel N Tanwani | Po Box 631, Randallstown, MD 21133-0631 | Nursing Home Administrator | ~ |
| Katie M Lee | 11 Englewood Dr, Manchester, CT 06042-2738 | Nursing Home Administrator | ~ |
| Dov Moskowitz | 976 South End, Woodmere, NY 11598 | Nursing Home Administrator | ~ |
Please comment or provide details below to improve the information on CLARISSE FAIRBANKS.
| 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).