MATTHEW C FORMAN (Credential# 988673) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 14, 2011. The license expiration date date is January 31, 2012. The license status is INACTIVE.
MATTHEW C FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.098676. The credential type is registered nurse. The effective date is March 14, 2011. The expiration date is January 31, 2012. The business address is 21 Bellewood Cir, Syracuse, NY 13212-3201. The current status is inactive.
| Licensee Name | MATTHEW C FORMAN |
| Credential ID | 988673 |
| Credential Number | 10.098676 |
| Credential Type | Registered Nurse |
| Business Address |
21 Bellewood Cir Syracuse NY 13212-3201 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-03-14 |
| Effective Date | 2011-03-14 |
| Expiration Date | 2012-01-31 |
| Refresh Date | 2014-07-24 |
| Street Address | 21 BELLEWOOD CIR |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13212-3201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| C & S Engineers Inc | 499 Col Eileen Collins Blvd, Syracuse, NY 13212 | Professional Engineering Corporation | 2020-01-15 ~ 2021-01-14 |
| Empire Crane Co., LLC | 7021 Performance Drive, Syracuse, NY 13212 | Crane Registration | 2019-10-22 ~ 2020-10-22 |
| The Empire Crane Co, LLC | 7021 Performance Dr., N. Syracuse, NY 13212 | Crane Registration | 2010-06-11 ~ 2011-06-10 |
| Orrin B Macmurray | C&s Engineers Inc, Syracuse, NY 13212 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
| Richard H Maybury | 212 Tolbert Dr, N Syracuse, NY 13212 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Joseph J Venner | 607 Shaver Ave, Syracuse, NY 13212 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Daniel E Litherland | 303 Hyland Dr, North Syracuse, NY 13212 | Licensed Practical Nurse | 2009-01-02 ~ 2009-09-30 |
| Ron Ashkenasy Do | 460 South Main St #77, North Syracuse, NY 13212 | Physician/surgeon | 2002-05-22 ~ 2003-03-31 |
| Jane Bickel | 319 E Taft Rd, No Syracuse, NY 13212 | Hairdresser/cosmetician | 2004-04-19 ~ 2006-04-30 |
| Sheila A Klementowski | 104 Palmer Ave, North Syracuse, NY 13212 | Licensed Practical Nurse | 1992-11-24 ~ 1993-07-31 |
| Find all Licenses in zip 13212 | |||
| City | SYRACUSE |
| Zip Code | 13212 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + SYRACUSE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Georgianna Forman Tata | 219 Matthew St, Prospect, CT 06712-1417 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Ce Forman T V & Applian · Forman T V & Appliance | E Liberty St, Chester, CT 06412 | Tv & Radio Service Dealer | ~ |
| The Forman School Inc · Peirce Dining Hall | 12 Norfolk Rd, Litchfield, CT 06759-2537 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
| Sarah E Forman | 261 Centerbrook Rd, Hamden, CT 06518-3413 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Forman Industries Inc · F I Companies | 3150 Bordentown Ave, Old Bridge, NJ 08857-9703 | Major Contractor | 2017-05-09 ~ 2017-06-30 |
| Patricia M Forman | 914 Maple Hill Rd, Guilford, CT 06437 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Leila B Forman | 100 Howe Street, New Haven, CT 06511 | Registered Nurse | 2008-01-14 ~ 2009-02-28 |
| Mary Forman | 2681 Anthony Ave, Bellmore, NY 11710-4619 | Registered Nurse | 2020-02-20 ~ 2020-05-31 |
| Rosha N Forman | 82 East Pearl Street, New Haven, CT 06513 | Registered Nurse | 2007-11-01 ~ 2008-11-30 |
Please comment or provide details below to improve the information on MATTHEW C FORMAN.
| 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).