EDWARD L JACKEM (Credential# 765183) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is March 18, 1999. The license expiration date date is March 31, 2000. The license status is INACTIVE.
EDWARD L JACKEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.000916. The credential type is nursing home administrator. The effective date is March 18, 1999. The expiration date is March 31, 2000. The business address is 24 Southpond Cir, Cheshire, CT 06410. The current status is inactive.
| Licensee Name | EDWARD L JACKEM |
| Credential ID | 765183 |
| Credential Number | 36.000916 |
| Credential Type | Nursing Home Administrator |
| Business Address |
24 Southpond Cir Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1983-12-05 |
| Effective Date | 1999-03-18 |
| Expiration Date | 2000-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 24 SOUTHPOND CIR |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Nursing Home Administrator |
| License Type + County | Nursing Home Administrator + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward J Voskowsky | P O Box 431, Granby, CT 06035 | Nursing Home Administrator | 2000-02-21 ~ 2000-11-30 |
| Edward M White | 187 South Rd, Somers, CT 06071-2166 | Nursing Home Administrator | 2003-09-26 ~ 2004-09-30 |
| Edward J Baker | 224 Hubbell Ave, Waterbury, CT 06708-1220 | Nursing Home Administrator | 2018-08-01 ~ 2020-07-31 |
| Edward Blum | 909 Washington Blvd, Stamford, CT 06901 | Nursing Home Administrator | 1999-09-15 ~ 2000-11-30 |
| Edward V Curley Iv | 105 Bruce Avenue, Southington, CT 06489 | Nursing Home Administrator | 1999-02-04 ~ 2000-01-31 |
| Edward W Lamonde | 213 Pine Cove Dr, Inman, SC 29349-6928 | Nursing Home Administrator | 2010-06-01 ~ 2012-05-31 |
| Edward A Varjabedian | 109 Grist Mill Road, Wethersfield, CT 06109 | Nursing Home Administrator | 2010-09-01 ~ 2012-08-31 |
| Edward M Lenz | 123 East Avenue, Saratoga Springs, NY 12866 | Nursing Home Administrator | 1996-01-25 ~ 1997-01-31 |
| Edward L Jamele Jr | 2772 Meriden Waterbury Road, Marion, CT 06444 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Edward F Cleary · Kenneth H Cleary | 50 Beach Rd, Wolcott, CT 06716 | Nursing Home Administrator | 2003-01-06 ~ 2004-01-31 |
Please comment or provide details below to improve the information on EDWARD L JACKEM.
| 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).