SUSAN CHARMAINE IZZO APRN
Registered Nurse


Address: 177 Hamilton Dr, Manchester, CT 06042-2253

SUSAN CHARMAINE IZZO APRN (Credential# 630031) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

SUSAN CHARMAINE IZZO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E61142. The credential type is registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 177 Hamilton Dr, Manchester, CT 06042-2253. The current status is active.

Basic Information

Licensee Name SUSAN CHARMAINE IZZO APRN
Credential ID 630031
Credential Number 10.E61142
Credential Type Registered Nurse
Business Address 177 Hamilton Dr
Manchester
CT 06042-2253
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-02-26
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-05-18

Other licenses

ID Credential Code Credential Type Issue Term Status
681478 12.003300 Advanced Practice Registered Nurse 2005-09-08 2020-08-01 - 2021-07-31 ACTIVE
423454 CSP.0038607 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-12-06 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 177 HAMILTON DR
City MANCHESTER
State CT
Zip Code 06042-2253

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Jordan M Kaiser 40 Tanner St, Manchester, CT 06042 Registered Nurse 2020-06-01 ~ 2021-05-31
Tandra Gomes 80 Alton St., Manchester, CT 06042 Medication Administration Certification 2020-05-08 ~ 2022-05-07
James Power 16 Lawton Rd., Manchester, CT 06042 Medication Administration Certification 2018-08-03 ~ 2020-08-02
Tierra Amerson 66 Phelps Rd., Manchester, CT 06042 Medication Administration Certification 2018-07-02 ~ 2020-07-01
Lisa A Surdam 22 Greenwood Drive, Manchester, CT 06042 Notary Public Appointment 2020-06-01 ~ 2025-05-31
Sharon Morin 15 Hartland Rd, Manchester, CT 06042 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
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Competitor

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City MANCHESTER
Zip Code 06042
License Type Registered Nurse
License Type + County Registered Nurse + MANCHESTER

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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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