JENNIFER M BROUILLETTE (Credential# 1356253) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is November 30, 2016. The license status is INACTIVE.
JENNIFER M BROUILLETTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.134179. The credential type is registered nurse. The effective date is June 1, 2016. The expiration date is November 30, 2016. The business address is 517 East St, Easthampton, MA 01027-1220. The current status is inactive.
| Licensee Name | JENNIFER M BROUILLETTE |
| Credential ID | 1356253 |
| Credential Number | 10.134179 |
| Credential Type | Registered Nurse |
| Business Address |
517 East St Easthampton MA 01027-1220 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-06-01 |
| Effective Date | 2016-06-01 |
| Expiration Date | 2016-11-30 |
| Refresh Date | 2017-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1029588 | 10.102960 | Registered Nurse | 2011-11-01 | 2011-11-01 - 2012-11-30 | INACTIVE |
| 1031638 | 10.101964-TEMP | Registered Nurse - Temporary | 2011-08-30 | 2011-08-30 - 2011-12-28 | INACTIVE |
| 1356264 | 12 | Advanced Practice Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 517 EAST ST |
| City | EASTHAMPTON |
| State | MA |
| Zip Code | 01027-1220 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leo I Stemp Md | 16 Pine Hill Road, Easthampton, MA 01027 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William A Canon | 26 Ashley Circle, Easthampton, MA 01027 | Landscape Architect | 2019-02-05 ~ 2019-07-31 |
| Jo-anne Gaughan-cabral | 5 Wellington Circle, Easthampton, MA 01027 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Zachary J Montoya | 31 Hisgen Ave, East Hampton, MA 01027 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Kelli Montalvo-greene | 10 Golden Dr, Easthampton, MA 01027 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Karen A Lavallee-tente | 10 Taft Ave., Easthampton, MA 01027 | Massage Therapist | 2020-03-01 ~ 2022-02-28 |
| Allysson Lee Arcibal | 56 Adams Street, Easthampton, MA 01027 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Maureen J Mcginn | 11 Sandra Road, Easthampton, MA 01027 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| David J Popielarczyk | 5 Chestnut St, Easthampton, MA 01027 | Professional Engineer | 2019-02-10 ~ 2020-01-31 |
| Jennifer R Day | 55 Knipfer Ave, East Hampton, MA 01027 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Find all Licenses in zip 01027 | |||
| City | EASTHAMPTON |
| Zip Code | 01027 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + EASTHAMPTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica M Brouillette | 90 Bolton St, Springfield, MA 01119-2528 | Registered Nurse | ~ |
| Andrea M Brouillette | 56 Sweetbriar St, Norwich, CT 06360-9789 | Registered Nurse | 2015-11-01 ~ 2016-10-31 |
| Patricia A Brouillette | 41 Grand Ave, Pawtucket, RI 02861 | Registered Nurse | 1998-12-14 ~ 1999-12-31 |
| Emily Brouillette | Po Box 1110, Harwich, MA 02645-6110 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Donna R Brouillette | 719 Spindle Hill Rd, Wolcott, CT 06716 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Melissa Brouillette | 808 Dogwood Rd, West Palm Beach, FL 33409-6139 | Registered Nurse | 2013-01-03 ~ 2013-09-30 |
| Michele Lobb · Brouillette | 8089 Crabb Road, Temperance, MI 48182 | Registered Nurse | 1993-01-25 ~ 1994-02-28 |
| Donna C Brouillette | 16 Mark Street, Pawcatuck, CT 06379 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Mark S Brouillette | 9 Brenda Ln, Belchertown, MA 01007-9758 | Paramedic | 2012-11-01 ~ 2013-10-31 |
| Robert E Brouillette | 26 Greenbrier Rd, Narragansett, RI 02882-5226 | Radiographer | 2013-04-01 ~ 2014-03-31 |
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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).