RESHMA S CHACKO (Credential# 1629710) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
RESHMA S CHACKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008097. The credential type is advanced practice registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 2121 Whitney Ave, North Haven, CT 06473-4359. The current status is active.
| Licensee Name | RESHMA S CHACKO |
| Credential ID | 1629710 |
| Credential Number | 12.008097 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
2121 Whitney Ave North Haven CT 06473-4359 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-02-21 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 583565 | 10.079563 | Registered Nurse | 2006-08-07 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 1669722 | CSP.0071623 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-19 | 2019-06-19 - 2021-02-28 | ACTIVE |
| Street Address | 2121 WHITNEY AVE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-4359 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Manoj Chacko | 2121 Whitney Ave, North Haven, CT 06473 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia A D'amico | 2083 Whitney Ave, North Haven, CT 06473-4359 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Chacko | 47 Chelsea Cir, Bethany, CT 06524-3387 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Leigh B Bak | 15 Seaside Ct, Milford, CT 06460-4608 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ann B Williams | 433 E 51st St Apt 10a, New York, NY 10022-6472 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kristin Lee | 516 Kilburn Ct, Franklin, TN 37067-1371 | Advanced Practice Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Maggin Mathew | 49 Autumn Cir, Yonkers, NY 10703-1605 | Advanced Practice Registered Nurse | ~ |
| Effiem Obasi | 143 Longwood Ave, Providence, RI 02908-1121 | Advanced Practice Registered Nurse | ~ |
| Cynthia A Ely | 30 Deepwood Rd, Wilton, CT 06897-4201 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Judith E Staib | Po Box 9, Farmington, CT 06034-0009 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kristen Shoar | 56 Fountain Rd, Wales, MA 01081-9511 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on RESHMA S CHACKO.
| 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).