MARY C EZEM (Credential# 1026543) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
MARY C EZEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.101450. The credential type is registered nurse. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 4475 Sw 179th Way, Miramar, FL 33029-6305. The current status is inactive.
Licensee Name | MARY C EZEM |
Credential ID | 1026543 |
Credential Number | 10.101450 |
Credential Type | Registered Nurse |
Business Address |
4475 Sw 179th Way Miramar FL 33029-6305 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2011-08-03 |
Effective Date | 2016-04-01 |
Expiration Date | 2017-03-31 |
Refresh Date | 2017-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1026549 | 12.004710 | Advanced Practice Registered Nurse | 2011-08-03 | 2016-04-01 - 2017-03-31 | INACTIVE |
1027209 | CSP.0051139 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-05 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 4475 SW 179TH WAY |
City | MIRAMAR |
State | FL |
Zip Code | 33029-6305 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jim A Milardo | 3320 Sw 194 Ter, Miramar, FL 33029 | Tv & Radio Owner Technician | 2019-09-01 ~ 2020-08-31 |
Claire E Crocker | 4542 Sw 185 Ave, Miramar, FL 33029 | Licensed Clinical Social Worker | 2013-09-01 ~ 2014-08-31 |
Jody-ann Dale | 19182 Nw 12ct, Hollywood, FL 33029 | Registered Nurse - Temporary | 2014-06-10 ~ 2014-10-07 |
Audrey E Stewart | 4951 Sw 173rd Ave., Miramar, FL 33029 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
Victor A Sanchez | 18310 N.w. 10th Street, Pembroke Pines, FL 33029 | Dentist | 2009-09-01 ~ 2010-08-31 |
Andrea E Burdett | 1934 Northwest, Pembroke Pines, FL 33029 | Registered Nurse | 2002-11-12 ~ 2003-12-31 |
Daniel J Chesto | 441 Nw 200 Ave, Pembroke Pines, FL 33029 | Hairdresser/cosmetician | 2004-10-21 ~ 2006-07-31 |
Roselia C Collazo | 1451 N W 187 Ave, Pembroke Pines, FL 33029 | Hairdresser/cosmetician | 1994-08-26 ~ 1995-05-31 |
Russell E Reimann | 18561 Sw 39 Street, Miramar, FL 33029 | Registered Nurse | 2002-06-27 ~ 2003-06-30 |
Deanna L Suarez · Hagen | 144 Sw 180th Avenue, Pembroke Pines, FL 33029 | Registered Nurse | 2000-11-07 ~ 2001-11-30 |
Find all Licenses in zip 33029 |
City | MIRAMAR |
Zip Code | 33029 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + MIRAMAR |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary M Cornelius | 197 Mary Ellen Drive, Milford, CT 06460 | Registered Nurse | 2001-04-19 ~ 2002-06-30 |
Mary M Bazaldua | 12 Mary Road, Burlington, CT 06013 | Registered Nurse | 1992-12-22 ~ 1993-12-31 |
Mary Jo Duddie | 22 Mary Ln, Colchester, CT 06415-2305 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
Mary Beth Spillane · Mary Beth Abram | 145 Carriage Way, Windsor, CT 06095 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Mary M Johnson | CT | Registered Nurse | ~ |
Mary E Caswell · Mary's Masonary | 3 Stillman Rd, North Stonington, CT 06359-1734 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Mary Jean Thibodeau · Lenthe | 52 Mary Ln, Vernon Rockville, CT 06066-2814 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
Mary L Sexton | 39 Elm St, Ansonia, CT 06401 | Registered Nurse | 1996-02-14 ~ 1997-04-30 |
Mary B Pawluk | Po Box 305, Greenville, ME 04441-0305 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Mary J Boyne | P O Box 686, Centerville, MA 02632 | Registered Nurse | 2004-05-25 ~ 2005-06-30 |
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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).