RENEE PAVLOVICH (Credential# 1231184) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
RENEE PAVLOVICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.005792. The credential type is advanced practice registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 9 Beaver Dam Trail, Old Saybrook, CT 06475. The current status is active.
Licensee Name | RENEE PAVLOVICH |
Credential ID | 1231184 |
Credential Number | 12.005792 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
9 Beaver Dam Trail Old Saybrook CT 06475 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-07-24 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
624749 | 10.E55841 | Registered Nurse | 1993-10-01 | 2020-08-01 - 2021-07-31 | ACTIVE |
1236619 | CSP.0058338 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 9 BEAVER DAM TRAIL |
City | OLD SAYBROOK |
State | CT |
Zip Code | 06475 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06475 |
City | OLD SAYBROOK |
Zip Code | 06475 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + OLD SAYBROOK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kyungjoo Jung | 23 Renee Drive, Wakefield, MA 01880 | Advanced Practice Registered Nurse | 2001-02-26 ~ 2002-04-30 |
Christi Renee Sorrells | 4016 H Battleground Ave., Greensboro, NC 27410 | Advanced Practice Registered Nurse | 2015-01-01 ~ 2015-12-31 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Maury G Barrett | 185 Massachusetts Ave Apt 803, Boston, MA 02115-3035 | Advanced Practice Registered Nurse | ~ |
Ricky G Ewell II | 177 9th Ave Apt 5d, New York, NY 10011-4974 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
Francisco Laureano IIi | P.o. Box 234, Stratford, CT 06615 | Advanced Practice Registered Nurse | 2007-02-01 ~ 2008-02-29 |
Alice Bauman | P O Box 246, Ashby, MA 01431-0246 | Advanced Practice Registered Nurse | 2000-08-24 ~ 2001-09-30 |
Vivian E Koenig | P O Box 414, Purdys, NY 10578 | Advanced Practice Registered Nurse | 2001-12-17 ~ 2003-01-31 |
Please comment or provide details below to improve the information on RENEE PAVLOVICH.
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).