MICHELLE ANN JACKSON
Registered Nurse


Address: 163 Poospatuck Lane, Mastic, NY 11950

MICHELLE ANN JACKSON (Credential# 2006348) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

MICHELLE ANN JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.169770. The credential type is registered nurse. The effective date is April 1, 2020. The expiration date is April 30, 2021. The business address is 163 Poospatuck Lane, Mastic, NY 11950. The current status is active.

Basic Information

Licensee Name MICHELLE ANN JACKSON
Credential ID 2006348
Credential Number 10.169770
Credential Type Registered Nurse
Business Address 163 Poospatuck Lane
Mastic
NY 11950
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-04-01
Effective Date 2020-04-01
Expiration Date 2021-04-30
Refresh Date 2020-04-01

Other licenses

ID Credential Code Credential Type Issue Term Status
2039498 12 Advanced Practice Registered Nurse - PENDING

Office Location

Street Address 163 POOSPATUCK LANE
City MASTIC
State NY
Zip Code 11950

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michael Ciaramella 29 Moriches Avenue, Mastic, NY 11950 Home Improvement Salesperson 2015-06-12 ~ 2015-11-30
William Weiss 66 Broadway Ave, Mastic, NY 11950 Home Improvement Contractor 2004-12-01 ~ 2005-11-30
Salvatore Zurica 182 Monroe Street, Mastic, NY 11950 Tv & Radio Limited Dish Antenna Technician ~
Ayesha Latonya Williams 27 Gores Dr, Mastic, NY 11950-2007 Licensed Practical Nurse ~
Chris Rosado 7 Lafayette Ave, Mastic, NY 11950-2805 Tv & Radio Limited Dish Antenna Technician 2012-09-01 ~ 2013-08-31
Andrew S Keller 5 Terapin St, Mastic, NY 11950-4512 Tv & Radio Limited Dish Antenna Technician 2012-09-01 ~ 2013-08-31
Frederick N Dechirico 20 Terapin St, Mastic, NY 11950-4513 Tv & Radio Limited Dish Antenna Technician 2010-09-01 ~ 2011-08-31

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
George Blinn 55 Sweetbriar Dr, Mastic, NY 11952 Plumbing & Piping Unlimited Journeyperson ~

Competitor

Search similar business entities

City MASTIC
Zip Code 11950
License Type Registered Nurse
License Type + County Registered Nurse + MASTIC

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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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