PHYLLIS T WAKEHAM (Credential# 611598) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
PHYLLIS T WAKEHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E41128. The credential type is registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 Pepperidge Trail, Old Saybrook, CT 06475. The current status is active.
| Licensee Name | PHYLLIS T WAKEHAM |
| Credential ID | 611598 |
| Credential Number | 10.E41128 |
| Credential Type | Registered Nurse |
| Business Address |
4 Pepperidge Trail Old Saybrook CT 06475 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1978-09-15 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-10 |
| Street Address | 4 PEPPERIDGE TRAIL |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + OLD SAYBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cinda S Poulsen | 101 Wakeham Rd, Washington, CT 06793 | Real Estate Salesperson | ~ |
| Marjorie A Janssen | Wakeham Road, Washington, CT 06793 | Notary Public Appointment | 1985-02-19 ~ 1990-03-31 |
| Kevin Wakeham | 767 Boston Post Road, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phyllis Madorsky Inc | 5 Blind Brook Road South, Westport, CT 06880 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Phyllis A Maw | 110 Russo Dr, Guilford, CT 06437-2155 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Phyllis Wigfield | P.o. Box 184, Yantic, CT 06389 | Registered Nurse | 2004-02-02 ~ 2005-01-31 |
| Phyllis N Best | 41 Nursery Rd, Ridgefield, CT 06877 | Registered Nurse | 1995-09-07 ~ 1996-10-31 |
| Phyllis K Chabot | P O Box 41, Ware, MA 01082 | Registered Nurse | 2008-02-25 ~ 2009-04-30 |
| Phyllis J Saufley | Rt 1 Box 303, Mt Crawford, VA 22841 | Registered Nurse | 1993-04-23 ~ 1994-03-31 |
| Phyllis Bennici | Po Box 512, Suffield, CT 06078-0512 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on PHYLLIS T WAKEHAM.
| 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).