TARA LEE FORTIN
Registered Nurse


Address: 6 Nicole Cir, Southampton, MA 01073-9230

TARA LEE FORTIN (Credential# 1677029) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 2, 2019. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

TARA LEE FORTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.166587. The credential type is registered nurse. The effective date is December 2, 2019. The expiration date is December 31, 2020. The business address is 6 Nicole Cir, Southampton, MA 01073-9230. The current status is active.

Basic Information

Licensee Name TARA LEE FORTIN
Credential ID 1677029
Credential Number 10.166587
Credential Type Registered Nurse
Business Address 6 Nicole Cir
Southampton
MA 01073-9230
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-12-02
Effective Date 2019-12-02
Expiration Date 2020-12-31
Refresh Date 2019-12-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1681286 10.163327-TEMP Registered Nurse - Temporary 2019-08-05 2019-08-05 - 2019-12-03 INACTIVE

Office Location

Street Address 6 NICOLE CIR
City SOUTHAMPTON
State MA
Zip Code 01073-9230

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Marisol Franco 17 Katelyn Way, Southampton, MA 01073 Real Estate Salesperson 2020-06-11 ~ 2021-05-31
Wendy J Allen 11 Russellville Road, Southampton, MA 01073 Notary Public Appointment 2020-05-01 ~ 2025-04-30
Gwen Laprade 11 Karen Lane, Southampton, MA 01073 Tax Preparer/facilitator Permit 2020-02-26 ~ 2022-02-28
Barbara B Gardner 15a College Highway, Southampton, MA 01073 Tax Preparer/facilitator Permit 2020-02-19 ~ 2022-02-28
David E Pinsky 9 Buchanan Circle, Southampton, MA 01073 Professional Engineer 2019-02-01 ~ 2020-01-31
Thomas J Hogan IIi 6 Madeline Way, Southampton, MA 01073 Professional Engineer 2020-02-01 ~ 2021-01-31
Bruce A Coombs 33 Manhan Rd, Southampton, MA 01073 Land Surveyor 2020-02-01 ~ 2021-01-31
Amanda C Loftus 14 Freyer Road, Southampton, MA 01073 Registered Nurse 2020-02-01 ~ 2021-01-31
Heather Lashway 5 Madeline Way, Southampton, MA 01073 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
John Jude Furman 2 Birchwood Dr, Southampton, MA 01073 Professional Engineer 2020-02-01 ~ 2021-01-31
Find all Licenses in zip 01073

Competitor

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City SOUTHAMPTON
Zip Code 01073
License Type Registered Nurse
License Type + County Registered Nurse + SOUTHAMPTON

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Dataset Information

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).

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