HOLLY A CHURCH (Credential# 1078123) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.
HOLLY A CHURCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.037146. The credential type is licensed practical nurse. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 75 Bush Hill Rd, Lebanon, CT 06249-1212. The current status is inactive.
| Licensee Name | HOLLY A CHURCH |
| Credential ID | 1078123 |
| Credential Number | 11.037146 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
75 Bush Hill Rd Lebanon CT 06249-1212 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-07-05 |
| Effective Date | 2017-05-01 |
| Expiration Date | 2018-04-30 |
| Refresh Date | 2018-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 760826 | 29.004425 | Massage Therapist | 2006-02-15 | 2009-03-03 - 2011-04-30 | INACTIVE |
| Street Address | 75 BUSH HILL RD |
| City | LEBANON |
| State | CT |
| Zip Code | 06249-1212 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Holly B Marvel | 61 Bush Hill Rd, Lebanon, CT 06249-1212 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Carole Webster | 53 Bush Hill Rd, Lebanon, CT 06249-1212 | Community Companion Home | 2020-04-01 ~ 2021-03-31 |
| Katherine A Sanborn | 95 Bush Hill Rd, Lebanon, CT 06249-1212 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Patricia A Wojcik | 43 Bush Hill Rd, Lebanon, CT 06249-1212 | Radiographer | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Bazzano | 106 Bascom Road, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alan Peed | 353 Randall Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| David Hooper | 100 Barker Rd, Lebanon, CT 06249 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anna M Bender · Warzecha | 58 Barker Rd, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Leslie H Cote | 236 Mack Road, Lebanon, CT 06249 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
| Alyna J Stober | 40 Meadow Ridge Dr., Lebanon, CT 06249 | Emergency Medical Technician | ~ |
| Susan L Lambert | 648 Tobacco St, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John J Buda | 46 Ryan Terrace, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amy Margaret Yankanich | 67 Reservoir Rd, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06249 | |||
| City | LEBANON |
| Zip Code | 06249 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + LEBANON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abby M Cramer | 59 Holly Ln, Middletown, CT 06457-6132 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Katherine M Smith Mrs. | 921 Sea Holly Ct, New Bern, NC 28560-8952 | Licensed Practical Nurse | 2015-12-01 ~ 2016-11-30 |
| Holly Ann Dasilva | 151 Andrew Ave Apt 251, Naugatuck, CT 06770 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Holly S Doherty | 460 Main St, Portland, CT 06480-1586 | Licensed Practical Nurse | 2020-04-20 ~ 2020-08-31 |
| Holly R Wall | 612 Middlebury Rd, Watertown, CT 06795-3029 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Holly Marie Bayerle | 111 Carroll St, Naugatuck, CT 06770-4608 | Licensed Practical Nurse | ~ |
| Carol L Pfeiffer | 18 Holly Ct, Cromwell, CT 06416 | Licensed Practical Nurse | 1997-05-06 ~ 1997-09-05 |
| Lola Hill | 228 Holly St, Bridgeport, CT 06607-1078 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Holly Douglas | 44 Ellis Place, Ossining, NY 10562 | Licensed Practical Nurse | ~ |
| Holly Palacios | 67 Brookfield Rd, Lititz, PA 17543-8104 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on HOLLY A CHURCH.
| 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).