LEAH M FASOLO (Credential# 1300414) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
LEAH M FASOLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006271. The credential type is advanced practice registered nurse. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 215 Perkins St, Bristol, CT 06010-0105. The current status is inactive.
| Licensee Name | LEAH M FASOLO |
| Credential ID | 1300414 |
| Credential Number | 12.006271 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
215 Perkins St Bristol CT 06010-0105 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-08-28 |
| Effective Date | 2018-09-01 |
| Expiration Date | 2019-08-31 |
| Refresh Date | 2019-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 589587 | 10.085585 | Registered Nurse | 2008-07-14 | 2018-09-01 - 2019-08-31 | INACTIVE |
| 1304232 | CSP.0061262 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-08-29 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 215 PERKINS ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-0105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ralph F Esposito | 215 Perkins St, Bristol, CT 06010-0105 | Emergency Medical Technician | 2010-01-28 ~ 2012-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + BRISTOL |
| 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 |
| Theresa M Salerno | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Advanced Practice Registered Nurse | 2013-03-22 ~ 2014-02-28 |
| Yan Chen | 326 Mountain Rd, Wilton, CT 06897-1532 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Claudia Ann Graham | 1 Bridge Rd, Menands, NY 12204-1421 | Advanced Practice Registered Nurse | ~ |
| Kathleen Dibiase | 26 Independence Way, Titusville, NJ 08560 | Advanced Practice Registered Nurse | ~ |
| Rosemary Kopec | P O Box 98, Foster, RI 02825 | Advanced Practice Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Michelle O Itidiare | 255 Baltusrol Way, Springfield, NJ 07081-2107 | Advanced Practice Registered Nurse | ~ |
| Christine M Byrnes | Po Box 777, Copake, NY 12516 | Advanced Practice Registered Nurse | 2006-07-14 ~ 2007-08-31 |
| Dianne E Carter | 26 Pal Dr, Shrewsbury, MA 01545 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-05-31 |
| Erin R Swiggum | Po Box 129, La Farge, WI 54639-0129 | Advanced Practice Registered Nurse | 2015-12-01 ~ 2016-11-30 |
Please comment or provide details below to improve the information on LEAH M FASOLO.
| 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).