CARLY ANNE MARDIN (Credential# 1415682) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
CARLY ANNE MARDIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.144301. The credential type is registered nurse. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 29 Ledgewood Dr, Brookfield, CT 06804-3420. The current status is active.
| Licensee Name | CARLY ANNE MARDIN |
| Credential ID | 1415682 |
| Credential Number | 10.144301 |
| Credential Type | Registered Nurse |
| Business Address |
29 Ledgewood Dr Brookfield CT 06804-3420 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-21 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-19 |
| Street Address | 29 LEDGEWOOD DR |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-3420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon S Mardin | 29 Ledgewood Dr, Brookfield, CT 06804-3420 | Respiratory Care Practitioner | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vicente M Diesta | 31 Ledgewood Dr, Brookfield, CT 06804-3420 | Registered Nurse | 2020-06-18 ~ 2021-04-30 |
| Susan K Farrell | 35 Ledgewood Dr, Brookfield, CT 06804-3420 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Andree Simmoane Dagohoy Diesta | 31 Ledgewood Dr, Brookfield, CT 06804-3420 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Anthony C Olivier | 27 Ledgewood Dr, Brookfield, CT 06804-3420 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| J Scott Williams | 30 Obtuse Road South, Brookfield, CT 06804 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Liudmila Yakauleva | 317 Federal Road Suite C, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Brandi L Hennessey | 24 Riverview Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| Medical Warehouse Inc | 72 Grays Bridge Rd, Brookfield, CT 06804 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Heather Lynn Edelmann | 87 Heatherwood Drive, Brookfield, CT 06804 | Notary Public Appointment | 2020-06-25 ~ 2025-06-30 |
| Xiaoming Zheng | 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Shop Rite | Federal Rd, Brookfield, CT 06804 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06804 | |||
| City | BROOKFIELD |
| Zip Code | 06804 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + BROOKFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carly Anne Malmberg | Po Box 66, Fawnskin, CA 92333 | Registered Nurse | ~ |
| Carly Anne Childs | 1308 Wayne Ct, Alameda, CA 94501-4618 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Koren L Mardin | 231 Moses Clark Road, Lisbon, NH 03585 | Registered Nurse | ~ 1997-03-31 |
| Carly Detterman | P. O Box 593, Monterey, MA 01245 | Registered Nurse | 2008-01-29 ~ 2009-02-28 |
| Carly Lavoie | Po Box 1357, Litchfield, CT 06759 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Carly E Alicandro | 358 Commonwealth Ave, New Britain, CT 06053 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Carly Ann Hoskins | 555 Totts Gap Rd, Bangor, PA 18013-5458 | Registered Nurse | 2020-01-21 ~ 2020-11-30 |
| Carly S Goodell | 528 N Parish Rd, Turner, ME 04282 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Carly A Shamkin | 11 Barton St, Millerton, NY 12546 | Registered Nurse | 2008-06-16 ~ 2009-08-31 |
| Carly Rae Zupnick | 212 E 47th St Apt 11h, New York, NY 10017-2123 | Registered Nurse | 2019-12-10 ~ 2020-06-30 |
Please comment or provide details below to improve the information on CARLY ANNE MARDIN.
| 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).