MARY M BAZALDUA (Credential# 646259) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 22, 1992. The license expiration date date is December 31, 1993. The license status is INACTIVE.
MARY M BAZALDUA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R46185. The credential type is registered nurse. The effective date is December 22, 1992. The expiration date is December 31, 1993. The business address is 12 Mary Road, Burlington, CT 06013. The current status is inactive.
| Licensee Name | MARY M BAZALDUA |
| Credential ID | 646259 |
| Credential Number | 10.R46185 |
| Credential Type | Registered Nurse |
| Business Address |
12 Mary Road Burlington CT 06013 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1990-09-04 |
| Effective Date | 1992-12-22 |
| Expiration Date | 1993-12-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 678461 | 12.000269 | Advanced Practice Registered Nurse | 1991-04-09 | 1992-12-22 - 1993-12-31 | INACTIVE |
| Street Address | 12 MARY ROAD |
| City | BURLINGTON |
| State | CT |
| Zip Code | 06013 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | BURLINGTON |
| Zip Code | 06013 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary M Cornelius | 197 Mary Ellen Drive, Milford, CT 06460 | Registered Nurse | 2001-04-19 ~ 2002-06-30 |
| Mary Jo Duddie | 22 Mary Ln, Colchester, CT 06415-2305 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| Mary Beth Spillane · Mary Beth Abram | 145 Carriage Way, Windsor, CT 06095 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary M Johnson | CT | Registered Nurse | ~ |
| Mary E Caswell · Mary's Masonary | 3 Stillman Rd, North Stonington, CT 06359-1734 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Mary Jean Thibodeau · Lenthe | 52 Mary Ln, Vernon Rockville, CT 06066-2814 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary R Dresser | Po Box 363, Casco, ME 04015 | Registered Nurse | 1995-01-23 ~ 1996-03-31 |
| Mary Polacek | Po Box 420, Lovettsville, VA 20180-0420 | Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| Mary A Meng | Po Box 108, Milford, CT 06460 | Registered Nurse | 1994-07-12 ~ 1995-09-30 |
| Mary A Rea | 2160 E Augusta Ave, Chandler, AZ 85249-4109 | Registered Nurse | ~ |
Please comment or provide details below to improve the information on MARY M BAZALDUA.
| 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).