PETRINA MALCOLM (Credential# 1636487) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
PETRINA MALCOLM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.042175. The credential type is licensed practical nurse. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 46 Waldorf Ave, Bridgeport, CT 06605-2547. The current status is active.
Licensee Name | PETRINA MALCOLM |
Credential ID | 1636487 |
Credential Number | 11.042175 |
Credential Type | Licensed Practical Nurse |
Business Address |
46 Waldorf Ave Bridgeport CT 06605-2547 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-03-11 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2019-12-31 |
Street Address | 46 WALDORF AVE |
City | BRIDGEPORT |
State | CT |
Zip Code | 06605-2547 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Terrell J Rowell | 88 Waldorf Ave, Bridgeport, CT 06605-2547 | Asbestos Abatement Worker | 2010-11-30 ~ 2011-11-30 |
Tearsey K Moore | 90 Waldorf Ave Fl 3, Bridgeport, CT 06605-2547 | Lead Abatement Worker | 2010-08-02 ~ 2011-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06605 |
City | BRIDGEPORT |
Zip Code | 06605 |
License Type | Licensed Practical Nurse |
License Type + County | Licensed Practical Nurse + BRIDGEPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joan E Malcolm | 29 Tamarack Dr, Windsor, CT 06095-3851 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
Paulette Simpson | 40 Malcolm St, Hamden, CT 06514-3025 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
Andre L Malcolm | 329 Cooke St, Waterbury, CT 06710 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
Esther L Malcolm | 222 Rainbow Dr, Livingston, TX 77399 | Licensed Practical Nurse | 2015-11-01 ~ 2016-10-31 |
Sheryli A Hall | 234 Malcolm Rd, West Haven, CT 06516 | Licensed Practical Nurse | 1999-06-22 ~ 2000-07-31 |
Malcolm Marcus Loman | 21 Overlook Ave, Middletown, CT 06457-5325 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
Annasharie Maria Porter-malcolm | 329 Cooke St, Waterbury, CT 06710-1727 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
Petrina B Macisaac | C/o Procare Usa, Farmington, CT 06032 | Registered Nurse | 2005-08-01 ~ 2006-08-31 |
Petrina C Reid | 20 Linwood Dr, Bloomfield, CT 06002-1706 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Petrina E James | 204 West 144th St., Apt. 2a, New York, NY 10026 | Registered Nurse | 1999-08-31 ~ 2000-08-31 |
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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).