DENISE M JACOBY-SMITH (Credential# 2015261) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 24, 2020. The license expiration date date is November 30, 2020. The license status is ACTIVE.
DENISE M JACOBY-SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008837. The credential type is advanced practice registered nurse. The effective date is April 24, 2020. The expiration date is November 30, 2020. The business address is 504 Ash Lane, Factoryville, PA 18419. The current status is active.
| Licensee Name | DENISE M JACOBY-SMITH |
| Credential ID | 2015261 |
| Credential Number | 12.008837 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
504 Ash Lane Factoryville PA 18419 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-24 |
| Effective Date | 2020-04-24 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2015259 | 10.169890 | Registered Nurse | 2020-04-03 | 2020-04-03 - 2020-11-30 | ACTIVE |
| 2015380 | 10.169218-TEMP | Registered Nurse - Temporary | 2020-03-09 | 2020-03-09 - 2020-07-07 | ACTIVE |
| Street Address | 504 Ash Lane |
| City | Factoryville |
| State | PA |
| Zip Code | 18419 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas J Talarico | Rr3 3120lk Sheridan Rd., Factoryville, PA 18419 | Backflow Prevention Device Tester | 1999-10-01 ~ 2002-09-30 |
| Carolyn F Patton | 5 Concord Avenue, Factoryville, PA 18419 | Registered Nurse | 2010-06-01 ~ 2011-05-31 |
| John M Stofa | 30 Valley View Drive, Factoryville, PA 18419 | Electrical Limited Contractor | 2006-10-01 ~ 2007-09-30 |
| City | Factoryville |
| Zip Code | 18419 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Factoryville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan T Jacoby · Sloan | 515 West Ave, Norwalk, CT 06850-4054 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Denise C Kelley | 56 Tennyson Dr, Longmeadow, MA 01106-2334 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Denise M Romano Aprn | 21 Trumbull Ave, Milford, CT 06460 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Denise Vigna | 520 Peekskill Hollow Rd, Putnam Valley, NY 10579-2706 | Advanced Practice Registered Nurse | ~ |
| Denise Gallo | 32 France Street, Norwalk, CT 06851-3631 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Denise M Milton | 197 Guinevere Ridge, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Denise M Mcgrath | 17 Boulder Trail, Enfield, NH 03748 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Denise R Innes | 1301 Spargercrest Drive, Bedford, TX 76021 | Advanced Practice Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Denise Bader | 166 Blackville Road, Washington Depot, CT 06794 | Advanced Practice Registered Nurse | 1992-10-23 ~ 1993-12-31 |
| Denise Riley Aprn | 30742 Hilltop Dr., Evergreen, CO 80439 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on DENISE M JACOBY-SMITH.
| 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).