SUSAN FACKELMAN (Credential# 679823) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 7, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
SUSAN FACKELMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001644. The credential type is advanced practice registered nurse. The effective date is January 7, 1998. The expiration date is February 28, 1999. The business address is 530 South 2nd St, Philadelphia, PA 19147. The current status is inactive.
| Licensee Name | SUSAN FACKELMAN |
| Credential ID | 679823 |
| Credential Number | 12.001644 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
530 South 2nd St Philadelphia PA 19147 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-08-15 |
| Effective Date | 1998-01-07 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 650540 | 10.R50793 | Registered Nurse | 1995-02-24 | 1998-01-07 - 1999-02-28 | INACTIVE |
| Street Address | 530 SOUTH 2ND ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark E Lund | 530 South 2nd St, Philadelphia, PA 19147 | Physician Assistant | 1994-06-21 ~ 1995-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerry K Roller | 127 Fitzwater St, Philadelphia, PA 19147 | Architect | 2020-08-01 ~ 2021-07-31 |
| John William Rogatzki | 1329 Lombard Street, Philadelphia, PA 19147 | Registered Nurse | ~ |
| Samuel F Stern | 714 Fitzwater Street, Philadelphia, PA 19147 | Emergency Medical Technician | 2020-10-01 ~ 2022-09-30 |
| Andrew M Poletto | 311 Catharine Street, Philadelphia, PA 19147 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Maria P T Schorfheide | 133 Pemberton St, Philadelphia, PA 19147 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Brett D Spearman | 830 S Front Street, Philadelphia, PA 19147 | Architect | 2019-08-02 ~ 2020-07-31 |
| John Howard Rodenbeck | 1415 South Howard St, Philadelphia, PA 19147 | Architect | 2019-08-01 ~ 2020-07-31 |
| S. Hecht & Sons, Inc | 508 Bainbridge St, Philadelphia, PA 19147 | Demolition Contractor | 1992-01-01 ~ 1992-12-31 |
| Transplant Support Foundation | 104 Lombard Street, Philadelphia, PA 19147 | Public Charity-exempt From Financial Requirements | ~ |
| Marvin Waxman | 613 Catharine St, Philadelphia, PA 19147 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| Find all Licenses in zip 19147 | |||
| City | PHILADELPHIA |
| Zip Code | 19147 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + PHILADELPHIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan R Radesca | 400 E 84th St Apt 34b, New York, NY 10028-5613 | Advanced Practice Registered Nurse | 2017-08-01 ~ 2018-07-31 |
| Susan E Paldino | 29 Deerfield Ln, Portland, CT 06480-1713 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Susan D King | 341 Rye St, Broad Brook, CT 06016-9563 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Susan M Negrich | 225 Plains Rd, Haddam, CT 06438-1235 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan J Meunier | 366 Poplar Rd, Middletown, CT 06457-1925 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Susan T Naylor | 40 Center St, New London, CT 06320 | Advanced Practice Registered Nurse | ~ 1995-11-30 |
| Susan E Buntz | 41 Amancio St, Wakefield, RI 02879 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Susan A Macarthur | 4 South Rd, Kent, CT 06757 | Advanced Practice Registered Nurse | 1998-11-11 ~ 1999-08-31 |
| Susan M Barba | 151 Harrison Rd, Cheshire, CT 06410-3526 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Susan M Williamson | 390 Canterbury Rd, Brooklyn, CT 06234 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on SUSAN FACKELMAN.
| 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).