MAVIS J PEMBERTON (Credential# 1514175) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
MAVIS J PEMBERTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.041699. The credential type is licensed practical nurse. The effective date is August 1, 2018. The expiration date is August 31, 2019. The business address is 100 Cumberland Dr, Bridgeport, CT 06606-1301. The current status is inactive.
| Licensee Name | MAVIS J PEMBERTON |
| Credential ID | 1514175 |
| Credential Number | 11.041699 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
100 Cumberland Dr Bridgeport CT 06606-1301 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-08-01 |
| Effective Date | 2018-08-01 |
| Expiration Date | 2019-08-31 |
| Refresh Date | 2019-12-04 |
| Street Address | 100 CUMBERLAND DR |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-1301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan J Rivera | 100 Cumberland Dr, Bridgeport, CT 00000 | Notary Public Appointment | 1982-05-01 ~ 1987-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mavis E Cox | 476 Norton Pwy, New Haven, CT 06511 | Licensed Practical Nurse | 1992-05-27 ~ 1993-05-31 |
| Mavis Dzadey | 150 Pleasantview Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2004-05-03 ~ 2005-06-30 |
| Mavis Vernon | 3334 Bronxwood Ave, Bronx, NY 10469 | Licensed Practical Nurse | 1981-01-01 ~ 1994-01-31 |
| Mavis Owusu-ansah | 323 Center St Apt A10, West Haven, CT 06516-4304 | Licensed Practical Nurse | ~ |
| Mavis K Short · Alps | 920 Walnut St, Elmira, NY 14901 | Licensed Practical Nurse | 2001-05-24 ~ 2002-05-31 |
| Mavis E Watson | 4824 Buckeye Pl, College Park, GA 30349-7025 | Licensed Practical Nurse | 2011-12-01 ~ 2012-11-30 |
| Virgendalis Cruz | 180 Pemberton Rd, Willimantic, CT 06226-3770 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Gloria F Thomas | 128 Pemberton Road, Summerville, SC 29483 | Licensed Practical Nurse | 2013-09-01 ~ 2014-08-31 |
| Dorothea R Warner | 1230 Pemberton Trl, Malabar, FL 32950 | Licensed Practical Nurse | 1999-01-07 ~ 2000-02-29 |
| Bernadette M Derosa | 9023 Pemberton St, Spring Hill, FL 34608 | Licensed Practical Nurse | 2003-04-02 ~ 2004-04-30 |
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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).