PAMELA A PROVISOR (Credential# 640533) 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.
PAMELA A PROVISOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R35864. The credential type is registered nurse. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 7 Old Towne Way, Fiskdale, MA 01518-1043. The current status is active.
| Licensee Name | PAMELA A PROVISOR |
| Credential ID | 640533 |
| Credential Number | 10.R35864 |
| Credential Type | Registered Nurse |
| Business Address |
7 Old Towne Way Fiskdale MA 01518-1043 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1982-08-31 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-09 |
| Street Address | 7 OLD TOWNE WAY |
| City | FISKDALE |
| State | MA |
| Zip Code | 01518-1043 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dawn Kelley | 13 Old Towne Way, Sturbridge, MA 01518-1043 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Evan P Provisor | Fiskdale, MA 01518-1043 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles P Everson, Jr. | 12 Laflamme Ln., Fiskdale, MA 01518 | Backflow Prevention Device Tester | 2020-04-01 ~ 2023-03-31 |
| Shannon Elizabeth Sullivan | 6 Wildwood Lane, Sturbridge, MA 01518 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Sherry Diane | 110 Leadmine Lane, Fiskdale, MA 01518 | Speech and Language Pathologist | 2020-06-01 ~ 2021-05-31 |
| Rachel Ann Kopacz | 59 Brookfield Road, Fiskdale, MA 01518 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Victoria Allen Masse | 24 Camp Rd, Fiskdale, MA 01518 | Notary Public Appointment | 2018-02-01 ~ 2023-02-28 |
| Janina Piascik | 56 Clark Road, Fiskdale, MA 01518 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Colonial Restorations LLC | 43 Collette Rd, Fiskdale, MA 01518 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Kimberly Mary Jorge | 588 Main Street, Sturbridge, MA 01518 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Bryan Matter · Handyman Service | 6 Lauren Lane, Fiskdale, MA 01518 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Lisa A Byam-mooney · Goldberg | 84 A Paradise Lane, Sturbridge, MA 01518 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 01518 | |||
| City | FISKDALE |
| Zip Code | 01518 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + FISKDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evan P Provisor | Fiskdale, MA 01518-1043 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Pamela's · Pamela's LLC Dba | 5 Greenview, Middlefield, CT 06455-1281 | Bakery | 1998-07-01 ~ 1999-06-30 |
| Pamela L Clay | Po Box 962, Newcastle, OK 73065-0962 | Registered Nurse | 2015-03-01 ~ 2016-02-29 |
| Pamela J Breaux | Po Box 854, Carencro, LA 70520-0854 | Registered Nurse | 2007-05-18 ~ 2008-06-30 |
| Pamela B Rothacker | P O Box 373, Patterson, NY 12563 | Registered Nurse | 2004-01-14 ~ 2004-12-31 |
| Pamela A Stirling | Po Box 425, Zionsville, IN 46077-0425 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Pamela A Lye · Lye | 4830 1/2 Apt A, Seattle, WA 98118 | Registered Nurse | 2000-07-06 ~ 2001-07-31 |
| Pamela K Hackett | 316 Hwy. 35 So., Dermott, AR 71638 | Registered Nurse | 2003-02-03 ~ 2004-01-31 |
| Pamela Alger | 360 Meadow Ln, Hershey, PA 17033-9505 | Registered Nurse | ~ |
| Pamela A Joy | 14 Washington St, Naugatuck, CT 06770 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on PAMELA A PROVISOR.
| 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).