TABITHA A PROVOST (Credential# 591468) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
TABITHA A PROVOST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.087466. The credential type is registered nurse. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 11 Allen Dr, Broad Brook, CT 06016-9765. The current status is inactive.
| Licensee Name | TABITHA A PROVOST |
| Credential ID | 591468 |
| Credential Number | 10.087466 |
| Credential Type | Registered Nurse |
| Business Address |
11 Allen Dr Broad Brook CT 06016-9765 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-12-08 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| Street Address | 11 Allen Dr |
| City | BROAD BROOK |
| State | CT |
| Zip Code | 06016-9765 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen Looke | 1 Allen Dr, Broad Brook, CT 06016-9765 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Lilian P Byrne | 13 Allen Drive, Broad Brook, CT 06016-9765 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Valerie G Romano | 7 Allen Dr, Broad Brook, CT 06016-9765 | Nursing Home Administrator | 2018-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew T Moore | 67 Middle Road, Broad Brook, CT 06016 | Emergency Medical Technician | 2018-08-02 ~ 2020-03-31 |
| Dallas W Hosmer | N24 Mill Pond Drive, Broad Brook, CT 06016 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2020-08-31 |
| Cathryn E Carroll | 127 East Road, Broad Brook, CT 06016 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jonathan E Marino · J M Affordable Landscaping | 319 Canyon Ridge Drive, Broad Brook, CT 06016 | Home Improvement Contractor | 2018-09-04 ~ 2019-11-30 |
| Heather Allison Kun | 2 Jessie Ln, Broad Brook, CT 06016 | Registered Nurse | ~ |
| Anna J Mangiafico · Kement | 35 Sullivan Farm Road, Broad Brook, CT 06016 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melissa V La Belle | 17 C Folkstone Road, Broad Brook, CT 06016 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Andrea Kopec | 406 Canyon Ridge Drive, Broad Brook, CT 06016 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen C Quesnel | 16 Maple Avenue (po Box 349), Broad Brook, CT 06016 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Sophie Carter | 41 Skinner Road, Broad Brook, CT 06016 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06016 | |||
| City | BROAD BROOK |
| Zip Code | 06016 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + BROAD BROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Provost · Provost | 126 Prospect Street, East Longmeadow, MA 01028 | Registered Nurse | 1997-03-21 ~ 1998-05-31 |
| Roger N Provost · R N Provost Builders | Po Box 64, Dayville, CT 06241 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Paul R Provost · Paul R Provost Construction | 17 High Meadow Ln, Norwich, CT 06360 | Limited Sheet Metal Contractor | 2019-09-01 ~ 2020-08-31 |
| Gary L Provost · G L Provost Construction | 120 Webber St, Springfield, MA 01108 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Tabitha Krosi | 205 Rosengarten Dr, Waterbury, CT 06704 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tabitha S Harting | 286 Bloomingrove Dr, Troy, NY 12180 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Tabitha Lesser | 109 Worthy Cir, Fenton, MO 63026-2764 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tabitha Lea Vazquez | 344 Norton Cir Se, Smyrna, GA 30082-2118 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Tabitha Oates | 164 Shirley Road, Torrington, CT 06790 | Registered Nurse | ~ |
| Tabitha J Whetham | 24 Horseshoe Cir, Simsbury, CT 06070 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on TABITHA A PROVOST.
| 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).