FANTA BERETEY (Credential# 1604863) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 8, 2019. The license expiration date date is September 30, 2019. The license status is INACTIVE.
FANTA BERETEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.158300. The credential type is registered nurse. The effective date is February 8, 2019. The expiration date is September 30, 2019. The business address is 10611 Sourwood Ave, Waldorf, MD 20603-5717. The current status is inactive.
| Licensee Name | FANTA BERETEY |
| Credential ID | 1604863 |
| Credential Number | 10.158300 |
| Credential Type | Registered Nurse |
| Business Address |
10611 Sourwood Ave Waldorf MD 20603-5717 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2019-02-08 |
| Effective Date | 2019-02-08 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| Street Address | 10611 SOURWOOD AVE |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-5717 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Hill | 2461 Streamview Drive, Waldorf, MD 20603 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Kathryn A Krieger · Cujdik | 2866 Scenic Meadow Street, Waldorf, MD 20603 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Sandy Simelus | Apt 314, Waldorf, MD 20603 | Registered Nurse - Temporary | 2017-04-21 ~ 2017-08-18 |
| Abdullah Heath | 4165 Log Teal Dr, Waldorf, MD 20603 | Emergency Medical Technician | ~ |
| Nathaniel P Selavka | 5100 Mahi Mahi Pl, Waldorf, MD 20603 | Engineer-in-training | ~ |
| Kelley M Black | 2307 Watertrumpet Ct, Waldorf, MD 20603 | Engineer-in-training | ~ |
| Gregory W Day | 4115 Broadbill Drive, Waldorf, MD 20603 | Plumbing & Piping Unlimited Journeyperson | 2005-11-14 ~ 2006-10-31 |
| Matthew L Hurley | 6220 Seal Pl, Waldorf, MD 20603-4452 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Taisha A Nolan | 9399 Principal Ln, Waldorf, MD 20603-5350 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
| Bamidele Suleman | 3155 Sedgewick Dr, Waldorf, MD 20603-5700 | Registered Nurse | ~ |
| Find all Licenses in zip 20603 | |||
| City | WALDORF |
| Zip Code | 20603 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WALDORF |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fanta Michelle Bayoh | 511 Prospect St Apt 3, New Haven, CT 06511-2125 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
| Mohamed Beretey | 33 Owen Ave, Pawtucket, RI 02860 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Roshiny Achiamma Alex | Post Box 5254,registered Nurse, Abudhabi | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Nydia I Lugaro | S Main St C/o Nurse Network 653, Plantsville, CT 06479-1549 | Registered Nurse | ~ |
| April Tan | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Umadevi Janne | Staff Nurse,2d Department, 2nd Floor, Abudhabi, Uae, 2951 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Caryn S Nurse | 4159 Palm Dr, Snellville, GA 30039-3323 | Registered Nurse - Temporary | 2012-02-29 ~ 2012-06-28 |
| Michele C Rose · Martin | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2008-12-05 ~ 2009-12-31 |
| Sherrie-lynn Nurse | Avalon Walk Apts, Hamden, CT 06518 | Registered Nurse | ~ 1998-02-28 |
| India M Nurse | 38 Padanaram Ave., 8a, Danbury, CT 06811 | Registered Nurse | 2007-03-02 ~ 2007-11-30 |
Please comment or provide details below to improve the information on FANTA BERETEY.
| 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).