PHYLLIS L TRACY (Credential# 580340) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
PHYLLIS L TRACY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.076337. The credential type is registered nurse. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 25 Blossom Dr, Pomfret Center, CT 06259. The current status is active.
| Licensee Name | PHYLLIS L TRACY |
| Doing Business As | Benard |
| Credential ID | 580340 |
| Credential Number | 10.076337 |
| Credential Type | Registered Nurse |
| Business Address |
25 Blossom Dr Pomfret Center CT 06259 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-08-03 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 671015 | 11.027209 | Licensed Practical Nurse | 1998-05-29 | 2005-05-27 - 2006-07-31 | INACTIVE |
| Street Address | 25 BLOSSOM DR |
| City | Pomfret Center |
| State | CT |
| Zip Code | 06259 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles E Tracy | 25 Blossom Dr, Pomfret Center, CT 06259-1736 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth A. Poland | 123 Ragged Hill Road, Pomfret Center, CT 06259 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Saara A Slevinsky · Kahonen | 244 Paine Road, Pomfret Center, CT 06259 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Sandra Fredrickson | 135 Cooney Road, Pomfret Center, CT 06259 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Lillian R Erskine | 443 Hampton Road, Abington, CT 06259 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gary J Pazienza | 120 Cooney Road, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer L Jasmin | 524 Mashamoquet Rd, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Irina P Ionkina | 185 Babbitt Hill Road, Pomfret Center, CT 06259 | Master's Level Social Worker | 2019-01-01 ~ 2019-12-31 |
| Donna J Navarro | 88 Freedley Rd, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer W Mahr | 89 Covell Road, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Philip Raiford | 172 Peterson Rd, Pomfret Center, CT 06259 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06259 | |||
| City | Pomfret Center |
| Zip Code | 06259 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Pomfret Center |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phyllis Madorsky Inc | 5 Blind Brook Road South, Westport, CT 06880 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Phyllis R Stallone | 1 Fifth Ave, Westwood, NJ 07675 | Registered Nurse | 1992-08-26 ~ 1993-07-31 |
| Phyllis Wigfield | P.o. Box 184, Yantic, CT 06389 | Registered Nurse | 2004-02-02 ~ 2005-01-31 |
| Phyllis K Chabot | P O Box 41, Ware, MA 01082 | Registered Nurse | 2008-02-25 ~ 2009-04-30 |
| Phyllis B Walsh | Rr1 Box 62, Montrose, PA 18801 | Registered Nurse | 2003-06-02 ~ 2004-06-30 |
| Phyllis J Hagstrom | P O Box 38, Woodstock, CT 06281 | Registered Nurse | 1992-09-24 ~ 1993-09-30 |
| Phyllis N Best | 41 Nursery Rd, Ridgefield, CT 06877 | Registered Nurse | 1995-09-07 ~ 1996-10-31 |
| Phyllis A Maw | 110 Russo Dr, Guilford, CT 06437-2155 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Phyllis J Saufley | Rt 1 Box 303, Mt Crawford, VA 22841 | Registered Nurse | 1993-04-23 ~ 1994-03-31 |
| Phyllis R Gofstein | 235 Den Rd, Stamford, CT 06903 | Registered Nurse | 2017-10-01 ~ 2018-09-30 |
Please comment or provide details below to improve the information on PHYLLIS L TRACY.
| 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).