BENJAMIN WALLACE (Credential# 1629318) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
BENJAMIN WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.158312. The credential type is registered nurse. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 20 Benjamin Rd, Preston, CT 06365. The current status is active.
| Licensee Name | BENJAMIN WALLACE |
| Credential ID | 1629318 |
| Credential Number | 10.158312 |
| Credential Type | Registered Nurse |
| Business Address |
20 Benjamin Rd Preston CT 06365 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-02-08 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1630936 | 10.158283-TEMP | Registered Nurse - Temporary | 2019-02-07 | 2019-02-07 - 2019-06-07 | INACTIVE |
| Street Address | 20 Benjamin Rd |
| City | Preston |
| State | CT |
| Zip Code | 06365 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Doggy Stylez Mobile Grooming · Doggy Stylez Mobile Grooming LLC | 5 Point St, Preston, CT 06365 | Grooming Facility | ~ |
| Mary A Oat- Pelletier · Oat | 66 River Road, Preston, CT 06365 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Lisa J Cooper | 43 Lincoln Park Rd, Preston, CT 06365 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Serena Tam | 6 Wilderness Acres Dr, Norwich, CT 06365 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Morell Apiaries LLC | 353 Rte# 165, Preston, CT 06365 | Food Manufacturing Establishment | 2020-07-01 ~ 2021-06-30 |
| Kendall M Gileau | 4 Brand Road, Preston, CT 06365 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan A Sampson | 17 Doolittle Rd, Preston, CT 06365 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Christopher P Jurczyk | 8 Puddleby Road, Preston, CT 06365 | Electrical Unlimited Contractor | 2020-05-28 ~ 2020-09-30 |
| Heather B Chaves | 97 Branch Hill Road, Preston, CT 06365 | Notary Public Appointment | 1996-04-18 ~ 2001-04-30 |
| Denyce Marie Martell | 19 Julian Dr, Preston, CT 06365 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06365 | |||
| City | Preston |
| Zip Code | 06365 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Preston |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenda J Wallace · Wallace | 4356 E Winchcomb Drive, Phoenix, AZ 85032 | Registered Nurse | 2013-04-01 ~ 2014-03-31 |
| Wallace Company Inc · C Robert Wallace | 28 N Main St, W Hartford, CT 06107-1928 | Real Estate Broker | 2001-04-01 ~ 2002-03-31 |
| Richard W Wallace · Dick Wallace & Son Builders Inc | Po Box 3672, Groton Long Point, CT 06340-1608 | Home Improvement Contractor | 1995-06-02 ~ 1996-11-30 |
| John R Wallace | 130 Washington St Apt 6, Norwich, CT 06360 | Home Improvement Contractor | ~ 1995-05-01 |
| Wallace-tustin Realty Inc · Wallace & Tetreault Realty | 1496 Sullivan Ave, South Windsor, CT 06074-2787 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Louise Wallace | Hc Rt 1 Box 76, Grandin, MO 63943 | Registered Nurse | 1963-10-01 ~ 1964-06-30 |
| Amy E Wallace | 30 Quimby Rd, Meredith, NH 03253-6741 | Registered Nurse | 2011-09-01 ~ 2012-08-31 |
| Villie C Go | 1 Wallace St, Waterford, CT 06385 | Registered Nurse | 2010-12-01 ~ 2011-11-30 |
| Stuart J Wallace | Po Box 365, Moodus, CT 06469 | Registered Nurse | 1996-03-27 ~ 1997-05-31 |
| Laurene M Wallace | P O Box 77, Colebrook, CT 06021 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on BENJAMIN WALLACE.
| 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).