JESSICA L CHAN (Credential# 933810) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JESSICA L CHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.094495. The credential type is registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 130 Parker Hill Rd, Killingworth, CT 06419-2335. The current status is active.
| Licensee Name | JESSICA L CHAN |
| Credential ID | 933810 |
| Credential Number | 10.094495 |
| Credential Type | Registered Nurse |
| Business Address |
130 Parker Hill Rd Killingworth CT 06419-2335 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-06-30 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1234483 | 12.005804 | Advanced Practice Registered Nurse | 2014-07-31 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 1238009 | CSP.0058379 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 130 PARKER HILL RD |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419-2335 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
| Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06419 | |||
| City | KILLINGWORTH |
| Zip Code | 06419 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + KILLINGWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Chan | 21-80 38th Street, Astoria, NY 11105 | Registered Nurse | 2009-11-01 ~ 2010-10-31 |
| Jessica Chan | 65 Railroad Ave Apt 1d, Milford, CT 06460-9209 | Licensed Practical Nurse | ~ |
| Jessica P Chan | 126 Edgemont Rd, Scarsdale, NY 10583 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Fred S Chan · Chan's Choice Restaurant | 345 Main Street, Norwalk, CT 06851 | Restaurant Liquor | 2003-06-19 ~ 2004-05-24 |
| Donald Chan | 50 Water St, Medford, MA 02155 | Registered Nurse | ~ |
| Anthony Chan | 717 Fay Rd, Syracuse, NY 13219-3007 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Sarah E Chan | 717 Fay Rd, Syracuse, NY 13219-3007 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Lisa M Chan | 18 Old Farm Rd, Douglas, MA 01516-2549 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Chiyan Chan | 53-48 207th St, Bayside, NY 11364-1716 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Josephia Chan | 17 Rivington Way, Danbury, CT 06810 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on JESSICA L CHAN.
| 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).