JENNIFER PARK SEVERENKO (Credential# 1788256) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNIFER PARK SEVERENKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008590. The credential type is advanced practice registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3231 Poplar St, Yorktown Heights, NY 10598-2621. The current status is active.
| Licensee Name | JENNIFER PARK SEVERENKO |
| Credential ID | 1788256 |
| Credential Number | 12.008590 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
3231 Poplar St Yorktown Heights NY 10598-2621 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-01 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1472395 | 10.148369 | Registered Nurse | 2018-02-16 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 1804139 | CSP.0072712 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-11-04 | 2019-11-04 - 2021-02-28 | ACTIVE |
| 1492379 | 10.148255-TEMP | Registered Nurse - Temporary | 2018-02-14 | 2018-02-14 - 2018-06-13 | INACTIVE |
| Street Address | 3231 POPLAR ST |
| City | YORKTOWN HEIGHTS |
| State | NY |
| Zip Code | 10598-2621 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jill A Duggan | 3239 Poplar St, Yorktown Heights, NY 10598-2621 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Tetro | 302 Lewis Ave, Yorktown Heights, NY 10598 | Architect | 2020-08-01 ~ 2021-07-31 |
| Hye Jung Park | 223 Tree Top Ln, Yorktown Heights, NY 10598 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Roberta Miller | 2390 Claire Court, Yorktown Heights, NY 10598 | Registered Nurse - Temporary | 2020-02-25 ~ 2020-06-24 |
| Annie H Villanueva | 22-10 Mohansic Ave, Yorktown Height, NY 10598 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Hannah Dahlke | 2160 Saw Mill River Rd, Yorktown, NY 10598 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Christine M Castaldo | 3481 Curry Street, Yorktown Heights, NY 10598 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Mary E Hillringhouse | 612 Granite Spring, Yorktown Heights, NY 10598 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Perry H Lerner | 340 Sterling Terrace, Yorktown Heights, NY 10598 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| Joshua H Feinstein | 3373 Sycamore Lane, Yorktown Heights, NY 10598 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Jennifer K Jackman | 3180 Woodfield Court, Yorktown Heights, NY 10598 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10598 | |||
| City | YORKTOWN HEIGHTS |
| Zip Code | 10598 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + YORKTOWN HEIGHTS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Reardon | 580 Bedford Rd Apt 7, Pleasantville, NY 10570-3357 | Advanced Practice Registered Nurse | 2013-11-01 ~ 2014-10-31 |
| Jennifer L Barnhart | 166 N Timber Ln, Cheshire, CT 06410-3941 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jennifer A Searfoss | 3 Stratford Rd, Farmington, CT 06032-1444 | Advanced Practice Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Jennifer Marie Smrtka | 572 Oldfield Rd, Fairfield, CT 06824 | Advanced Practice Registered Nurse | ~ |
| Jennifer L Mongillo | 102 Devonshire Way, Berlin, CT 06037-3436 | Advanced Practice Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jennifer C Benjamin | 23 Grande Ave, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Jennifer H Ross | 44 Hillcrest Dr, Vernon, CT 06066-4206 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Jennifer B Yaro | 374 Grand Ave, New Haven, CT 06513-3733 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Jennifer L Trainor | 399 Old Whitfield St, Guilford, CT 06437-3446 | Advanced Practice Registered Nurse | 2020-06-03 ~ 2020-10-31 |
| Jennifer Moriarty Aprn | Po Box 343, Weatogue, CT 06089-0343 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on JENNIFER PARK SEVERENKO.
| 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).