MALLORY NICHOLE FOSSA (Credential# 1649385) 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.
MALLORY NICHOLE FOSSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008276. 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 8 Watch Hill Ave, Stonington, CT 06378. The current status is active.
| Licensee Name | MALLORY NICHOLE FOSSA |
| Credential ID | 1649385 |
| Credential Number | 12.008276 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
8 Watch Hill Ave Stonington CT 06378 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1002572 | 10.102311 | Registered Nurse | 2011-09-21 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 1673974 | CSP.0071832 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-05 | 2019-07-05 - 2021-02-28 | ACTIVE |
| 1002581 | 10.100099-TEMP | Registered Nurse - Temporary | 2011-06-15 | 2011-06-15 - 2011-10-13 | INACTIVE |
| Street Address | 8 Watch Hill Ave |
| City | Stonington |
| State | CT |
| Zip Code | 06378 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edith E Morrison-morren | 9 Oak St, Stonington, CT 06378 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joseph Vito Larico | 14 Sherwood Dr., Stonington, CT 06378 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Sound Building Construction LLC | 1034 Pequot Trail, Stonington, CT 06378 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Caroline Marion Georgetti | 9 Oak Drive, Stonington, CT 06378 | Acupuncturist | 2020-08-01 ~ 2022-07-31 |
| John P Carbo | 65 Alpha Avenue, Stonington, CT 06378 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| John Kelley Memorial Fund, Inc | 152 Water Street, Stonington, CT 06378 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Donna L Starling | 647 New London Turnp, Stonington, CT 06378 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Michael J Lenihan | 16 Sherwood Dr, Stonington, CT 06378 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Raymond Joseph Dussault | 1388 Pequot Trail, Stonington, CT 06378 | Casino Class I Employee | 2019-12-03 ~ 2020-02-23 |
| The Global Child | 769 Stonington Road, Stonington, CT 06378 | Child Care Center | 2019-10-01 ~ 2023-09-30 |
| Find all Licenses in zip 06378 | |||
| City | Stonington |
| Zip Code | 06378 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Stonington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mallory J Muzykoski | 137 Bennett Rd, Voluntown, CT 06384-1711 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mallory Roper | 13511 Ironton Dr, Tampa, FL 33626-2967 | Advanced Practice Registered Nurse | 2020-03-18 ~ 2021-01-31 |
| Nichole M Buswell | 1843 10th St Apt 4, Santa Monica, CA 90404-4573 | Advanced Practice Registered Nurse | 2015-06-01 ~ 2016-05-31 |
| Nichole Patience Turner | 120 Summit Ave, Upper Darby, PA 19082-3523 | Advanced Practice Registered Nurse | 2020-03-13 ~ 2020-06-30 |
| Nichole B Helm | 2761 Gladstone St Apt 214, Halifax, Nova Scotia, OC B3K 0C4 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katrina I Fossa | 20 Niles Road, Mystic, CT 06355 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Nichole Mallory | 28 Hillcrest Ave, Middletown, CT 06457-5322 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Letrari Fossa Bandita | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2002-02-01 ~ 2005-01-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Mae Joy E Falk | 40 Nutmeg Ct, Middletown, CT 06457-2394 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MALLORY NICHOLE FOSSA.
| 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).