TARA P PELLERIN
Registered Nurse


Address: 41 Arrowhead Farm Road, Boxford, MA 01921-2643

TARA P PELLERIN (Credential# 577963) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 13, 2004. The license expiration date date is November 30, 2005. The license status is INACTIVE.

Business Overview

TARA P PELLERIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.073959. The credential type is registered nurse. The effective date is December 13, 2004. The expiration date is November 30, 2005. The business address is 41 Arrowhead Farm Road, Boxford, MA 01921-2643. The current status is inactive.

Basic Information

Licensee Name TARA P PELLERIN
Credential ID 577963
Credential Number 10.073959
Credential Type Registered Nurse
Business Address 41 Arrowhead Farm Road
Boxford
MA 01921-2643
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-08-03
Effective Date 2004-12-13
Expiration Date 2005-11-30
Refresh Date 2009-07-08

Office Location

Street Address 41 Arrowhead Farm Road
City Boxford
State MA
Zip Code 01921-2643

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Michelle L Perry 185 Georgetown Road, Boxford, MA 01921 Registered Nurse 2020-01-01 ~ 2020-12-31
Rodney F Burnett 5 King Johns Dr, Boxford, MA 01921 Architect 2019-08-01 ~ 2020-07-31
Mark P Mitsch 2 Old Killam Hill Rd, Boxford, MA 01921 Professional Engineer 2017-04-13 ~ 2018-01-31
Kathryn M Lord · Cerasulo 12 A Mulberry Lane, Boxford, MA 01921 Registered Nurse 2017-02-01 ~ 2018-01-31
James D Tollman 200 Washington Street, Boxford, MA 01921 Physician/surgeon 2016-09-01 ~ 2017-08-31
John H Helve 19 Silverbrook Rd, Boxford, MA 01921 Professional Engineer 1987-01-08 ~ 1988-01-31
Francis M Brickelmaier Jr 20 Pinehurst Dr, Boxford, MA 01921 Professional Engineer 2004-02-01 ~ 2005-01-31
Frank Brickelmaier, Jr. 20 Pinehurst Drive, Boxford, MA 01921 Water Treatment Plant Operator In Training 2005-12-29 ~ 2008-12-31
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Competitor

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City Boxford
Zip Code 01921
License Type Registered Nurse
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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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