SAMANTHA J BUSAM (Credential# 1284023) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
SAMANTHA J BUSAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.128799. The credential type is registered nurse. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 412 Highcroft Pl, Weatogue, CT 06089-7915. The current status is active.
| Licensee Name | SAMANTHA J BUSAM |
| Credential ID | 1284023 |
| Credential Number | 10.128799 |
| Credential Type | Registered Nurse |
| Business Address |
412 Highcroft Pl Weatogue CT 06089-7915 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-14 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-11-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1284165 | 10.126402-TEMP | Registered Nurse - Temporary | 2015-05-12 | 2015-05-12 - 2015-09-08 | INACTIVE |
| Street Address | 412 HIGHCROFT PL |
| City | WEATOGUE |
| State | CT |
| Zip Code | 06089-7915 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William J Wadington | 406 Highcroft Pl, Weatogue, CT 06089-7915 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Ogrin | 24 Alan Drive, Weatogue, CT 06089 | Professional Counselor Associate | ~ |
| Joseph A Galiette | 283 Hopmeadow St, Weatogue, CT 06089 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Xia Gao | 145 Cooper Ave Unit16, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gary J Guimond | 63 Hilltop Dr, Weatogue, CT 06089 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elizabeth J Langevin | 21 Sand Hill Rd, Weatogue, CT 06089 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trent Tao She | 3 Cooper Avenue, Weatogue, CT 06089 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hiu Lui Yeung | 84 Simsbury Manor Dr, Weatogue, CT 06089 | Nail Technician | 2020-06-23 ~ 2022-03-31 |
| Xiangyu Dong | 20 Hopmeadow St Unit 426, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Arielle H Marlette | 81 Cooper Avenue, Simsbury, CT 06089 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06089 | |||
| City | WEATOGUE |
| Zip Code | 06089 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WEATOGUE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Busam | 601 W 156th St Apt 43, New York, NY 10032-7526 | Registered Nurse | 2019-05-02 ~ 2020-05-31 |
| Mary A Busam | 4516 Briarwood Dr, Harrison, AR 72601-6885 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Klaus J Busam | 18 Rowan Road, Chatham, NJ 07928 | Physician/surgeon | 2005-12-01 ~ 2006-12-31 |
| Brian P Busam | 33 Westwood Drive, Newburgh, NY 12550 | Notary Public Appointment | 2009-04-06 ~ 2014-04-30 |
| Samantha B Queen | 325 2nd St, Blackstone, VA 23824-2119 | Registered Nurse | 2011-12-01 ~ 2012-11-30 |
| Samantha Salamon | 23 Harold St, Cos Cob, CT 06807 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Samantha Gay | 29 Avery Rd, Somers, CT 06071-1539 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Samantha Kay Buhr | 605 5th St, Gering, NE 69341-3818 | Registered Nurse | 2018-01-25 ~ 2018-07-31 |
| Samantha V Mercer | 7 Lee Rd, Lisbon, CT 06351-3016 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Samantha M Clayton | 8 2nd Ave, Rensselaer, NY 12144-2810 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
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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).