JACKLYN OBENG (Credential# 1235312) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JACKLYN OBENG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.005901. The credential type is advanced practice registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 15 Scuppo Rd, Danbury, CT 06811. The current status is active.
| Licensee Name | JACKLYN OBENG |
| Credential ID | 1235312 |
| Credential Number | 12.005901 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
15 Scuppo Rd Danbury CT 06811 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-09-10 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 590454 | 10.086452 | Registered Nurse | 2008-08-27 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 1252281 | CSP.0058936 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-10-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1452667 | 10.145193-TEMP | Registered Nurse - Temporary | 2017-09-25 | 2017-09-25 - 2018-01-22 | INACTIVE |
| Street Address | 15 SCUPPO RD |
| City | Danbury |
| State | CT |
| Zip Code | 06811 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beata Kowalczyk | 15 Scuppo Rd, Danbury, CT 06811 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Paul Mainella | 15 Scuppo Rd, Danbury, CT 06811 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brenda A Horberg | 3 Lily Drive, Danbury, CT 06811 | Real Estate Salesperson | ~ |
| Viviannes Middle Eastern Food | 36 Tamarack Ave, Danbury, CT 06811 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Kahn | 20 East Pembroke Rd, Danbury, CT 06811 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marcia L Oliveira | 6 Seminole Drive, Danbury, CT 06811 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy O Roberts Dds | 8 Tom Thumb Lane, Danbury, CT 06811 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Jennifer Rose Petronella | 68 Mill Plain Road, Danbury, CT 06811 | Tattoo Technician | ~ |
| Yuanmei Lu | 90 Hillandale Road, Danbury, CT 06811 | Real Estate Salesperson | ~ |
| Property Pros LLC | 83 Bear Mountain Rd, Danbury, CT 06811 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Michael J Mazzucco | 19 A Ta'agan Point Rd, Danbury, CT 06811 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Yanping Jiang | 5 Padanaram, Danbury, CT 06811 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06811 | |||
| City | Danbury |
| Zip Code | 06811 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Danbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Etta G Oye | 44 Beatrice Ave, Warwick, RI 02889-4604 | Advanced Practice Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Claudia Ann Graham | 1 Bridge Rd, Menands, NY 12204-1421 | Advanced Practice Registered Nurse | ~ |
| L. Ann Whitaker | 20 Sconset Ln, Guilford, CT 06437-1899 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Vivian E Koenig | P O Box 414, Purdys, NY 10578 | Advanced Practice Registered Nurse | 2001-12-17 ~ 2003-01-31 |
| Gary L Roy | 132 Adams St, New Britain, CT 06052 | Advanced Practice Registered Nurse | 2009-07-03 ~ 2010-07-31 |
| Theresa M Salerno | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Advanced Practice Registered Nurse | 2013-03-22 ~ 2014-02-28 |
| Mae Joy E Falk | 40 Nutmeg Ct, Middletown, CT 06457-2394 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Sue A Smolski | 39 Farmington Ave, Plainville, CT 06062 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
| Francisco Laureano IIi | P.o. Box 234, Stratford, CT 06615 | Advanced Practice Registered Nurse | 2007-02-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on JACKLYN OBENG.
| 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).