BLAIR AGOSTINELLI (Credential# 1791010) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
BLAIR AGOSTINELLI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.169097. The credential type is registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 40 Aldridge Rd, Chappaqua, NY 10514-3507. The current status is active.
| Licensee Name | BLAIR AGOSTINELLI |
| Credential ID | 1791010 |
| Credential Number | 10.169097 |
| Credential Type | Registered Nurse |
| Business Address |
40 Aldridge Rd Chappaqua NY 10514-3507 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-04 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1792251 | 10.165294-TEMP | Registered Nurse - Temporary | 2019-10-09 | 2019-10-09 - 2020-02-06 | INACTIVE |
| Street Address | 40 Aldridge RD |
| City | CHAPPAQUA |
| State | NY |
| Zip Code | 10514-3507 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | CHAPPAQUA |
| Zip Code | 10514 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + CHAPPAQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah A Blair · Blair | 14625 12th Ave Sw, Burien, WA 98166-1760 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Bonnie A Blair · Blair | 27 Mill Stone Dr, Guilford, CT 06437-1052 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Blanche C. Agostinelli | 120 Braeside Dr, Hamden, CT 06514 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
| Susan F Marcantonio · Agostinelli | 114 Scenic Dr, Berlin, CT 06037-2525 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jim Blair Jr · Jim Blair Restoration | 8 Woodcock Lane, Westport, CT 06880 | Home Improvement Contractor | 1995-05-08 ~ 1995-11-30 |
| Jack J Blair | 1616 Post Rd #1134, Fairfield, CT 06430 | Home Improvement Contractor | ~ 1995-07-01 |
| Blair Manor | 612 Hazard Ave, Enfield, CT 06082-4225 | Chronic & Convalescent Nursing Home | 2016-10-01 ~ 2018-09-30 |
| Robert E Blair · Blair Restoration & Construction | Po Box 366, Higganum, CT 06441 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Susan Lottie Carpenter | Po Box 96, Blair, NE 68008-0096 | Registered Nurse | ~ |
| Cherry S Blair | 14 Hickory Pt, Moro, IL 62067-1566 | Registered Nurse | ~ |
Please comment or provide details below to improve the information on BLAIR AGOSTINELLI.
| 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).