MARY B WITHEY (Credential# 639566) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARY B WITHEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R33921. The credential type is registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 26 Sunset Dr, Lebanon, CT 06249. The current status is active.
| Licensee Name | MARY B WITHEY |
| Credential ID | 639566 |
| Credential Number | 10.R33921 |
| Credential Type | Registered Nurse |
| Business Address |
26 Sunset Dr Lebanon CT 06249 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1980-12-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 679370 | 12.001190 | Advanced Practice Registered Nurse | 1995-09-22 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 1196865 | CSP.0056455 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-12-20 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 195529 | CSP.0026744 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 26 Sunset Dr |
| City | LEBANON |
| State | CT |
| Zip Code | 06249 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Bazzano | 106 Bascom Road, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alan Peed | 353 Randall Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| David Hooper | 100 Barker Rd, Lebanon, CT 06249 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anna M Bender · Warzecha | 58 Barker Rd, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Leslie H Cote | 236 Mack Road, Lebanon, CT 06249 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
| Alyna J Stober | 40 Meadow Ridge Dr., Lebanon, CT 06249 | Emergency Medical Technician | ~ |
| Susan L Lambert | 648 Tobacco St, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John J Buda | 46 Ryan Terrace, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amy Margaret Yankanich | 67 Reservoir Rd, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06249 | |||
| City | LEBANON |
| Zip Code | 06249 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + LEBANON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carrie Ann Withey | 1375 E King St, Johnson, IN 46131-9396 | Registered Nurse | ~ |
| Jill Y Withey | 52 Popple Bridge Rd, Jewett City, CT 06351-3533 | Licensed Practical Nurse | 2012-05-01 ~ 2013-04-30 |
| Corina L Jane | 16 Withey Hill Rd, Moosup, CT 06354-1316 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Whitney A Withey | 4119 Stoner Creek, Elk Horn, KY 06452 | Tv & Radio Owner Technician | ~ |
| Jill Withey | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2018-06-28 ~ 2020-06-27 |
| David C Sparkman | 18669 Withey Rd, Monte Sereno, CA 95030-4147 | Emergency Medical Technician | 2018-01-24 ~ 2021-01-01 |
| Katrina Withey | 49 Glazier Drive, South Glastonbury, CT 06073 | Licensed Clinical Social Worker | 2000-10-17 ~ 2001-12-31 |
| Patricia Colburn | 3 Withey Hill Road, Moosup, CT 06354 | Notary Public Appointment | 2009-11-01 ~ 2014-10-31 |
| Mary M Cornelius | 197 Mary Ellen Drive, Milford, CT 06460 | Registered Nurse | 2001-04-19 ~ 2002-06-30 |
| Mary M Bazaldua | 12 Mary Road, Burlington, CT 06013 | Registered Nurse | 1992-12-22 ~ 1993-12-31 |
Please comment or provide details below to improve the information on MARY B WITHEY.
| 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).