KELLY ANN KOSCIUK
Registered Nurse


Address: 5 Hancock Street, Port Jefferson Station, NY 11776

KELLY ANN KOSCIUK (Credential# 2011152) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 6, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KELLY ANN KOSCIUK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.169184. The credential type is registered nurse. The effective date is March 6, 2020. The expiration date is February 28, 2021. The business address is 5 Hancock Street, Port Jefferson Station, NY 11776. The current status is active.

Basic Information

Licensee Name KELLY ANN KOSCIUK
Credential ID 2011152
Credential Number 10.169184
Credential Type Registered Nurse
Business Address 5 Hancock Street
Port Jefferson Station
NY 11776
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-03-06
Effective Date 2020-03-06
Expiration Date 2021-02-28
Refresh Date 2020-03-09

Office Location

Street Address 5 Hancock Street
City Port Jefferson Station
State NY
Zip Code 11776

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Joanne Louise Downing 7 Cully Street, Port Jefferson Station, NY 11776 Physical Therapist 2020-04-01 ~ 2021-03-31
Beth Anne Travis 307 Woodhull Ave, Port Jefferson Station, NY 11776 Registered Nurse - Temporary 2020-04-22 ~ 2020-08-20
Praimchand Nardeo 15a East Grove Street, Port Jefferson Station, NY 11776 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Paul Lappano 45 Bedford Ave, Port Jefferson Station, NY 11776 Professional Engineer 2020-02-01 ~ 2021-01-31
Stewart D Charaton 3 Exeter Drive, Port Jefferson Station, NY 11776 Notary Public Appointment 2005-12-28 ~ 2010-12-31
Jeffrey Lee Vacirca 1500 Route 112 Building 4, Port Jefferson Station, NY 11776 Physician/surgeon 2020-02-01 ~ 2021-01-31
Kristen Youngberg 1 Evelyn Rd, Port Jeff Sta, NY 11776 Massage Therapist 2018-09-19 ~ 2020-09-30
Paul Alan Werfel 36 Sahenandoah Avlvd, Port Jefferson Station, NY 11776 Emergency Medical Technician ~
Clark S Homan 2 Pagnotta Drive, Port Jefferson, NY 11776 Physician/surgeon 2007-09-24 ~ 2008-10-31
Michael Allen Hawley 36 South Columbia St., Port Jefferson Station, NY 11776 Master's Level Social Worker ~
Find all Licenses in zip 11776

Competitor

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City Port Jefferson Station
Zip Code 11776
License Type Registered Nurse
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Maura E Kelly-sullivan · Kelly 7698 Alta Cuesta, Cucamonga, CA 91730 Registered Nurse 1994-07-27 ~ 1995-07-31
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S M T Kelly LLC · Shawn Kelly Design Builder 101 Princeton Dr, Huntington, CT 06484 Home Improvement Contractor 2019-12-01 ~ 2020-11-30
Kevin J Kelly · R Kelly & Son 707 Norwich Ave, Colchester, CT 06415 Home Improvement Contractor 2000-12-18 ~ 2001-11-30
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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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