SUSAN T JACOBY (Credential# 681462) is licensed (Advanced Practice 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.
SUSAN T JACOBY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003284. The credential type is advanced practice registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 515 West Ave, Norwalk, CT 06850-4054. The current status is active.
| Licensee Name | SUSAN T JACOBY |
| Doing Business As | SLOAN |
| Credential ID | 681462 |
| Credential Number | 12.003284 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
515 West Ave Norwalk CT 06850-4054 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-08-19 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 640115 | 10.R35031 | Registered Nurse | 1981-12-21 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 415272 | CSP.0038262 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-09-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 515 WEST AVE |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-4054 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Myles Holley | 515 West Ave, Norwalk, CT 06850 | Notary Public Appointment | 2020-02-01 ~ 2025-01-31 |
| Ndeye Astou Mbaye | 515 West Ave, Norwalk, CT 06850 | Notary Public Appointment | 2019-11-19 ~ 2024-11-30 |
| Christopher Roy | 515 West Ave, Norwalk, CT 06850 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Amy M Steckler | 515 West Ave, Norwalk, CT 06850 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Alena Saysithideth | 515 West Ave, Norwalk, CT 06850 | Hairdresser/cosmetician | 2019-11-01 ~ 2021-10-31 |
| Lung Chan · Haruki | 515 West Ave, Norwalk, CT 06850-4054 | Cafe Liquor | 2020-02-13 ~ 2021-06-12 |
| Caitlin M Fabian | 515 West Ave, Norwalk, CT 06850-4050 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kathleen Scotto | 515 West Ave, Norwalk, CT 06850 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| John Thomas Perrotti | 515 West Ave, Norwalk, CT 06850 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Suthida Prukbamroong | 515 West Ave, Norwalk, CT 06850-4054 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Clarizio | 515 West Ave Apt Mb320, Norwalk, CT 06850-4054 | Controlled Substance Registration for Practitioner | 2020-06-03 ~ 2021-02-28 |
| John W Giametta | 515 West Ave #105, Norwalk, CT 06850-4054 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Fred Y Kim | 515 West Ave Apt Mb432, Norwalk, CT 06850-4054 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisette S Forde | 515 West Ave Apt A426, Norwalk, CT 06850-4054 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Austin J Gross | 515 West Ave Apt Mb105, Norwalk, CT 06850-4054 | Professional Engineer | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Denise M Jacoby-smith | 504 Ash Lane, Factoryville, PA 18419 | Advanced Practice Registered Nurse | 2020-04-24 ~ 2020-11-30 |
| Eric C Silenga | 92 Susan Dr, Westfield, MA 01085-1433 | Advanced Practice Registered Nurse | 2020-04-08 ~ 2021-02-28 |
| Susan Fackelman | 530 South 2nd St, Philadelphia, PA 19147 | Advanced Practice Registered Nurse | 1998-01-07 ~ 1999-02-28 |
| Susan A Macarthur | 4 South Rd, Kent, CT 06757 | Advanced Practice Registered Nurse | 1998-11-11 ~ 1999-08-31 |
| Susan E Buntz | 41 Amancio St, Wakefield, RI 02879 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Susan T Naylor | 40 Center St, New London, CT 06320 | Advanced Practice Registered Nurse | ~ 1995-11-30 |
| Susan M Negrich | 225 Plains Rd, Haddam, CT 06438-1235 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan A Flannigan | 16 Tuxis Rd, Madison, CT 06443-3026 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| 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 |
Please comment or provide details below to improve the information on SUSAN T JACOBY.
| 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).