KERRY ANN ANNMARIE MANTACK (Credential# 1370862) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KERRY ANN ANNMARIE MANTACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.136691. The credential type is registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 55 Bunnell Ave, Stratford, CT 06614-2724. The current status is active.
| Licensee Name | KERRY ANN ANNMARIE MANTACK |
| Credential ID | 1370862 |
| Credential Number | 10.136691 |
| Credential Type | Registered Nurse |
| Business Address |
55 Bunnell Ave Stratford CT 06614-2724 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-08-24 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1370975 | 10.135968-TEMP | Registered Nurse - Temporary | 2016-08-05 | 2016-08-05 - 2016-12-02 | INACTIVE |
| Street Address | 55 BUNNELL AVE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-2724 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph J Vitti Jr | 95 Bunnell Ave, Stratford, CT 06614-2724 | Emergency Medical Technician | 2016-06-24 ~ 2019-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paulette R Mantack | 2 Rev Taylor Drive, Ansonia, CT 06401 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Annmarie L Sullivan | 5 Dorchester Dr, Windsor, CT 06095-2546 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Annmarie Yellico | 35 Moreland Ave, Albany, NY 12203-2810 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
| Annmarie Curran | 283 Fairview Ave, Hamden, CT 06514 | Registered Nurse | 2000-08-01 ~ 2001-09-30 |
| Annmarie F Berna | 112 Glencoe Ave, Penn Yan, NY 14527 | Registered Nurse | 1992-06-25 ~ 1993-04-30 |
| Annmarie Izzo | 19 King St, Danielson, CT 06239-4120 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Annmarie Rich | 78 Erie Ave, Newton, MA 02461 | Registered Nurse | 2007-01-08 ~ 2008-01-31 |
| Annmarie T Borracci | 48 Woodbridge Dr, Suffield, CT 06078 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Annmarie Lett | 57 Bricklemaier Rd, Colebrook, CT 06021-4117 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Annmarie Fekete | 16 Linley Rd, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on KERRY ANN ANNMARIE MANTACK.
| 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).