LISSY D POULOSE
Registered Nurse


Address: 12 Sandpiper Dr, Bloomfield, CT 06002-5603

LISSY D POULOSE (Credential# 572474) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

LISSY D POULOSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.068467. The credential type is registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 12 Sandpiper Dr, Bloomfield, CT 06002-5603. The current status is active.

Basic Information

Licensee Name LISSY D POULOSE
Credential ID 572474
Credential Number 10.068467
Credential Type Registered Nurse
Business Address 12 Sandpiper Dr
Bloomfield
CT 06002-5603
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2002-04-15
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-18

Other licenses

ID Credential Code Credential Type Issue Term Status
682080 12.003902 Advanced Practice Registered Nurse 2008-09-19 2020-05-01 - 2021-04-30 ACTIVE
515725 CSP.0044668 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-10-16 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 12 SANDPIPER DR
City BLOOMFIELD
State CT
Zip Code 06002-5603

Licenses in the same zip code

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Paula L Raines 92 Daniel Blvd, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Kesone Taletia Telfer 36 Walsh Street, Bloomfield, CT 06002 Advanced Practice Registered Nurse ~
Joan Zito Upton 106 Duncaster Road, Bloomfield, CT 06002 Dental Hygienist 2020-08-01 ~ 2021-07-31
Sheri M Sparks Primary Eye Care Center, Bloomfield, CT 06002 Optometrist 2020-09-01 ~ 2021-08-31
Kaman Aerospace Corporation Old Windsor Road, Bloomfield, CT 06002 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Healing Meals Foundation Corporation Po Box 7223, Bloomfield, CT 06002 Public Charity 2020-12-01 ~ 2021-11-30
Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Dorothy W Field 177 Oliver Way, Bloomfield, CT 06002 Registered Nurse 2020-09-01 ~ 2021-08-31
Carol J Mortensen 6 Maple Edge Dr, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City BLOOMFIELD
Zip Code 06002
License Type Registered Nurse
License Type + County Registered Nurse + BLOOMFIELD

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Dataset Information

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).

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