AMANDA E COSTELLA (Credential# 1602344) 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.
AMANDA E COSTELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007888. 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 218 Ichabod Rd, Southbury, CT 06488-2193. The current status is active.
| Licensee Name | AMANDA E COSTELLA |
| Credential ID | 1602344 |
| Credential Number | 12.007888 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
218 Ichabod Rd Southbury CT 06488-2193 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1188931 | 10.116080 | Registered Nurse | 2014-01-21 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 1602430 | CSP.0069578 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 472765 | PTN.0009521 | PHARMACY TECHNICIAN | 2007-06-01 | 2008-04-01 - 2009-03-31 | INACTIVE |
| Street Address | 218 ICHABOD RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-2193 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald B Taylor | 270 Ichabod Rd, Southbury, CT 06488-2193 | Electrical Unlimited Journeyperson | 2020-03-25 ~ 2020-09-30 |
| Monica Verdejo-santiago | 242 Ichabod Rd, Southbury, CT 06488-2193 | Pharmacy Technician | 2017-11-14 ~ 2018-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda S Grasso | 43 Summersweet Dr, Glastonbury, CT 06033-5203 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amanda R Mattei | 847 Durham Rd, Wallingford, CT 06492-2524 | Advanced Practice Registered Nurse | 2020-06-20 ~ 2021-05-31 |
| Amanda M Watson | 224 Crown St, Bristol, CT 06010 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Amanda Z. Silverman | 121 Grandview Dr, Glastonbury, CT 06033-3937 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amanda T Serra | 10 Meadow Ln, Brewster, NY 10509-1511 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Amanda A Shackell | 4 Woodfield Rd, Woodbridge, CT 06525-2626 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Amanda F Zygmant | 327 Riverside Ave, Westport, CT 06880-4810 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Amanda J Reilly | 57 Sachemus Trail, Brewster, MA 02631 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Amanda Scussel | 81 Allikat Way, East Haven, CT 06513-1642 | Advanced Practice Registered Nurse | 2017-04-01 ~ 2018-03-31 |
| Amanda Kathryn Sanderson | 3 Liams Ln, Methuen, MA 01844-4257 | Advanced Practice Registered Nurse | 2019-10-30 ~ 2020-10-31 |
Please comment or provide details below to improve the information on AMANDA E COSTELLA.
| 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).