KATHALINA R FABIAN FONTENOT (Credential# 1464438) is licensed (Licensed Nurse Midwife) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
KATHALINA R FABIAN FONTENOT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #16.000428. The credential type is licensed nurse midwife. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 36 Old Colony Rd, North Stonington, CT 06359-1523. The current status is active.
| Licensee Name | KATHALINA R FABIAN FONTENOT |
| Credential ID | 1464438 |
| Credential Number | 16.000428 |
| Credential Type | Licensed Nurse Midwife |
| Business Address |
36 Old Colony Rd North Stonington CT 06359-1523 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-25 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1306641 | 10.130717 | Registered Nurse | 2015-11-16 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1439133 | 10.143596-TEMP | Registered Nurse - Temporary | 2017-07-25 | 2017-07-25 - 2017-11-21 | INACTIVE |
| 1306859 | 10.129016-TEMP | Registered Nurse - Temporary | 2015-08-24 | 2015-08-24 - 2015-12-21 | INACTIVE |
| Street Address | 36 OLD COLONY RD |
| City | NORTH STONINGTON |
| State | CT |
| Zip Code | 06359-1523 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathalina Fabian-fontenot | 36 Old Colony Rd, North Stonington, CT 06359-1523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Taylor | 404 Pendleton Hill Rd, North Stonington, CT 06359 | Esthetician | 2020-06-27 ~ 2022-03-31 |
| Alaina L Kindelan | 70e Reutemann Rd, North Stonington, CT 06359 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Tenzin Dechen | 105 A Lakeside Drive, North Stonington, CT 06359 | Casino Class I Employee | 2019-12-03 ~ 2020-03-02 |
| Chad J Eaton · Bellissimo Grande | 411a 411b Norwich Westerly Road, North Stonington, CT 06359 | Hotel Liquor (10000 Or Less Population) | 2019-12-20 ~ 2021-04-19 |
| Carolyn A Howell | 495 Providence Newlondon Turnpike, North Stonington, CT 06359 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nancy L Peterson | 30 Pond Drive, North Stonington, CT 06359 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Pamela C Greenleaf | 28 Pond Dr, North Stonington, CT 06359 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorna Mckusick Pulver | 62n Patricia Avenue, North Stonington, CT 06359 | Esthetician | 2020-06-13 ~ 2022-04-30 |
| Jennifer A Emert · Chappell | 85 Rocky Hollow Rd, North Stonington, CT 06359 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Ariel J Pelletier | 389j Wyassup Road, North Stonington, CT 06359 | Notary Public Appointment | 2020-06-11 ~ 2025-06-30 |
| Find all Licenses in zip 06359 | |||
| City | NORTH STONINGTON |
| Zip Code | 06359 |
| License Type | Licensed Nurse Midwife |
| License Type + County | Licensed Nurse Midwife + NORTH STONINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathalina Fabian-fontenot | 36 Old Colony Rd, North Stonington, CT 06359-1523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle G Palmer | Po Box 209, Charlestown, RI 02813 | Licensed Nurse Midwife | 2009-03-20 ~ 2010-01-31 |
| Eva V Garcia Lnm | 101 Avon St, New Haven, CT 06511 | Licensed Nurse Midwife | 2014-06-01 ~ 2015-05-31 |
| Jenna Hutchens | 745 E 6th St Apt 5b, New York, NY 10009-6994 | Licensed Nurse Midwife | 2020-03-01 ~ 2021-02-28 |
| Donna Schmutzler | Rt 5 Box 422, Rogers, AR 72756 | Licensed Nurse Midwife | ~ 1995-05-31 |
| Debra J O'connell Lnm | 77 Oak St#1, Florence, MA 01062 | Licensed Nurse Midwife | 2004-04-20 ~ 2005-04-30 |
| Maren E Robertson Lnm | 53 Fox Run Ln, Mystic, CT 06355 | Licensed Nurse Midwife | 2012-04-01 ~ 2013-03-31 |
| Eileen Smith Lnm | 35 Strickland Rd, Cos Cob, CT 06807 | Licensed Nurse Midwife | 2012-06-01 ~ 2013-05-31 |
| Christine Fabian | 259 West Elm St, New Haven, CT 06515 | Licensed Practical Nurse | 2018-01-01 ~ 2018-12-31 |
| Patricia M Fabian | 65 Dewey Ave, Milford, CT 06460 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on KATHALINA R FABIAN FONTENOT.
| 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).