RANDOLPH K KOONTZ (Credential# 1077075) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
RANDOLPH K KOONTZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.037163. The credential type is licensed practical nurse. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is Po Box 1141, Pawcatuck, CT 06379-0141. The current status is inactive.
| Licensee Name | RANDOLPH K KOONTZ |
| Credential ID | 1077075 |
| Credential Number | 11.037163 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
Po Box 1141 Pawcatuck CT 06379-0141 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-07-12 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| Street Address | PO BOX 1141 |
| City | PAWCATUCK |
| State | CT |
| Zip Code | 06379-0141 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinessa Job | 45 Aimee Dr, Pawcatuck, CT 06379 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosanne M Giuliano | 25 Davis Avenue, Pawcatuck, CT 06379 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Kathleen Lettich | 15 Canterbury Lane, Stonington, CT 06379 | Behavior Analyst | ~ |
| Deanna L. Boileau-gilman | 37 William Street, Pawcatuck, CT 06379 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Stuart A Lamb | 40 Lester Ave., Pawcatuck, CT 06379 | Optician | 2020-09-01 ~ 2021-08-31 |
| Lisa S Dittman · Boyd | 302 N Anguilla Rd, Pawcatuck, CT 06379 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Naomi Gobeille | 2 North Broad Street, Pawcatuck, CT 06379 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sherrie L Theroux | 7 Pond View Ct, Pawcatuck, CT 06379 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin R Dana | 17 Wilcox Manor, Pawcatuck, CT 06379 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Sharon Marquis | 20 West Enterprise, Pawcatuck, CT 06379 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06379 | |||
| City | PAWCATUCK |
| Zip Code | 06379 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + PAWCATUCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Larry J Koontz | 144 Clintonville Rd, North Haven, CT 06473 | Licensed Practical Nurse | 1996-05-21 ~ 1997-07-31 |
| Bevlyn E Capleton | 62 Randolph Ave #2, Waterbury, CT 06710 | Licensed Practical Nurse | 2007-10-02 ~ 2008-07-31 |
| Sharnelle L Randolph | 76 Terrace St Apt A3, New Haven, CT 06512 | Licensed Practical Nurse | 2014-01-01 ~ 2014-12-31 |
| Petagay S Boyd | 76 Randolph Ave, Waterbury, CT 06710-1621 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Judith W Jascot | 196 Randolph Road, Middletown, CT 06457 | Licensed Practical Nurse | 2009-10-05 ~ 2010-09-30 |
| Shana N Mckinney | 17 Emily Jeffers, Randolph, MA 02368 | Licensed Practical Nurse | 2001-05-15 ~ 2002-05-31 |
| Marina C Cawley · Belbruno | 707 Irving Road, Randolph, MA 02368 | Licensed Practical Nurse | 1996-05-07 ~ 1997-06-30 |
| Belinda Jolley · Randolph | 4817 Ocean Gateway Route 731, Vienna, MD 21869 | Licensed Practical Nurse | 2019-05-01 ~ 2020-04-30 |
| Patricia A Koontz | 194 Vancouver Ct, Kernersville, NC 27284-9256 | Registered Nurse | ~ |
| Joseph A Randolph · J A Randolph Excavating | 478 West River St, Milford, CT 06460 | Home Improvement Contractor | ~ 1995-04-01 |
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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).