SUSAN AMY FACKLER (Credential# 1390366) is licensed (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.
SUSAN AMY FACKLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.138899. The credential type is registered nurse. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 2858 Piedmont Enclave Ct, Marietta, GA 30066. The current status is inactive.
| Licensee Name | SUSAN AMY FACKLER |
| Credential ID | 1390366 |
| Credential Number | 10.138899 |
| Credential Type | Registered Nurse |
| Business Address |
2858 Piedmont Enclave Ct Marietta GA 30066 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-11-29 |
| Effective Date | 2018-09-01 |
| Expiration Date | 2019-08-31 |
| Refresh Date | 2019-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1390595 | 10.138815-TEMP | Registered Nurse - Temporary | 2016-11-22 | 2016-11-22 - 2017-03-21 | INACTIVE |
| Street Address | 2858 Piedmont Enclave Ct |
| City | Marietta |
| State | GA |
| Zip Code | 30066 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Francis J L'estrange | 1780 Blackwillow Dr, Marietta, GA 30066 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Shaw C Tsay | 3362 Ebenezer Farm Road, Marietta, GA 30066 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ahmet Colakoglu | 1281 Kennestone Cir, Marietta, GA 30066 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Gary B Lineback | 2390 Canton Rd Bldg 200, Marietta, GA 30066 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Naveed Jaffar | 4206 Long Branch Dr, Marietta, GA 30066 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| William D Whitlock Jr | 4233 Arbor Club Dr, Marietta, GA 30066 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Melanie Pilgrim Dmd | 3419 Woodshire Crossing, Marietta, GA 30066 | Controlled Substance Registration for Practitioner | 2019-01-18 ~ 2019-02-28 |
| Andrea M Torres | 4404 Idlewilde Meadows Dr., Marietta, GA 30066 | Emergency Medical Technician | 2013-10-04 ~ 2015-10-01 |
| Pankaj R Kapadia | 3938 Summer Breeze Court, Marietta, GA 30066 | Certified Public Accountant Certificate | 2015-01-01 ~ 2015-12-31 |
| Roger J De Shane · Environmental Protection | 1612 Blackwell Rd, Marietta, GA 30066 | Professional Engineer | 1993-01-04 ~ 1994-01-31 |
| Find all Licenses in zip 30066 | |||
| City | Marietta |
| Zip Code | 30066 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Marietta |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol A Fackler | 22 Old Rd, Clinton, CT 06413 | Registered Nurse | 2010-01-01 ~ 2010-12-31 |
| Shari L Carta · Martin Fackler Home Improvements | 44 Dartmouth Pl, Newington, CT 06111-3611 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| George Fackler, Iv | 170 Forest Street 15, Stamford, CT 06901 | Certified Public Accountant Certificate | ~ |
| Susan E Hahn | 3 Susan Lane, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Susan M Hyland | 2 Barbara Ct, Rye, NY 10580-2813 | Registered Nurse | ~ |
| Susan L Kayser | 527 Ann Ln, Wantagh, NY 11793-1403 | Registered Nurse | ~ |
| Susan Elaine Boyce | CT | Registered Nurse | ~ |
| Susan G Stewart | 22 Coe Ave Ext, Portland, CT 06480 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
| Susan P Loughlin | P O Box 774, Lebanon, NH 03766 | Registered Nurse | ~ 1995-06-30 |
| Susan L Laraia | P.o. Box 774, Old Saybrook, CT 06475-2836 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on SUSAN AMY FACKLER.
| 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).