JACOB H WAYNE (Credential# 898809) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JACOB H WAYNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.091147. The credential type is registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 14 Kowal Ct, Newington, CT 06111-5323. The current status is active.
Licensee Name | JACOB H WAYNE |
Credential ID | 898809 |
Credential Number | 10.091147 |
Credential Type | Registered Nurse |
Business Address |
14 Kowal Ct Newington CT 06111-5323 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-10-21 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
898813 | 10.091036-TEMP | Registered Nurse - Temporary | 2009-09-29 | 2009-09-29 - 2010-01-27 | INACTIVE |
2058197 | CSP.0074634 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | PENDING | |
2054494 | 12 | Advanced Practice Registered Nurse | - | PENDING |
Street Address | 14 KOWAL CT |
City | NEWINGTON |
State | CT |
Zip Code | 06111-5323 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stefanie A Tedeschi | 12 Kowal Ct, Newington, CT 06111-5323 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Kieran J Kilkenny · City of Hartford | 22 Kowal Ct, Newington, CT 06111-5323 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
Fatima B Martinez | 26 Kowal Ct, Newington, CT 06111-5323 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Harry L Simonsen | 10 Kowal Ct, Newington, CT 06111-5323 | Emergency Medical Technician | 2012-12-19 ~ 2016-10-01 |
William G Hall | 37 Pepper Bush Lane, Newington, CT 06111-5323 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
John Sparagna | 27 Kowal Ct, Newington, CT 06111-5323 | Barber | 1993-07-23 ~ 1999-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
Find all Licenses in zip 06111 |
City | NEWINGTON |
Zip Code | 06111 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + NEWINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jacob L Jones | 5603 Bass Rd, Fort Wayne, IN 46808-2976 | Elevator Limited Conveyor Journeyperson | ~ |
Wayne M Sirota · Jacob Marley's Tavern & Grille | 464 Boston Post Rd, Orange, CT 06477 | Restaurant Liquor | 2006-05-07 ~ 2007-05-06 |
Mikelle R Dzubay | 304 Jacob Rd, Southbury, CT 06488 | Registered Nurse | 2008-10-15 ~ 2008-12-31 |
Jacob Olmstead | 733 Orange St, New Haven, CT 06511-2528 | Registered Nurse | 2019-03-01 ~ 2020-02-29 |
Matthew Jacob Bachman | 3 Templeton Ct, Avon, CT 06001-3950 | Registered Nurse | ~ |
Suseelamma Jacob | 23 Doris Dr, Monroe, CT 06468 | Registered Nurse | 2003-02-03 ~ 2004-02-29 |
Smitha Jacob | 428 Clement Ln, Orange, CT 06477-2803 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Jacob Myers Weill | 25 Olympia Ln, Waterbury, CT 06704 | Registered Nurse | ~ |
Neetha Jacob | 8711, Surrey, BC V3W 3Y2 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Jacob Coggeshall | 540 W Roscoe St Apt 285, Chicago, IL 60657 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
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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).