MATTHEW J WITKOVIC (Credential# 1381045) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MATTHEW J WITKOVIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006761. The credential type is advanced practice registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 10 Kaya Lane, Mansfield Center, CT 06250-3623. The current status is active.
| Licensee Name | MATTHEW J WITKOVIC |
| Credential ID | 1381045 |
| Credential Number | 12.006761 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
10 Kaya Lane Mansfield Center CT 06250-3623 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-10-03 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1037439 | 10.103132 | Registered Nurse | 2011-11-10 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 1384764 | CSP.0064225 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-10-19 | 2017-03-01 - 2019-02-28 | LAPSED |
| 842730 | 70.002997 | Emergency Medical Technician | 2002-09-23 | 2002-09-23 - 2004-03-31 | INACTIVE |
| Street Address | 10 Kaya Lane |
| City | Mansfield Center |
| State | CT |
| Zip Code | 06250-3623 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | Mansfield Center |
| Zip Code | 06250 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Mansfield Center |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew J Resinger | 5 Ellen Brady Dr, Richmond, RI 02892-1167 | Advanced Practice Registered Nurse | ~ |
| Matthew D Browning | 124 Seymour Rd, Woodbridge, CT 06525 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Matthew P Dickison | 11 Edgewood Circle, Avon, CT 06001 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Matthew R Scoggins | 44 Conard Dr, West Hartford, CT 06107-3620 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Matthew P Lemaster | 1 Gold Street Apt. 15a, Hartford, CT 06103-2923 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Matthew T Lasky | 956 Long Cove Rd, Gales Ferry, CT 06335 | Advanced Practice Registered Nurse | 1996-07-22 ~ 1997-09-30 |
| Matthew Mandzik Aprn | 4720 Rosedale Ave Apt 709, Bethesda, MD 20814 | Advanced Practice Registered Nurse | 2006-04-06 ~ 2007-04-30 |
| Kyle Matthew Farr | 1856 Tradition Dr, Canton, MI 48187 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Matthew R Young | 5776 Remington Cir Apt 504, Fort Worth, TX 76132-3226 | Advanced Practice Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Matthew Witkovic | 225 Commerce Drive, Canton, CT 06019-1099 | Medication Administration Certification | 2002-04-17 ~ 2004-04-16 |
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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).