STEPHANIE M VAN FOSSEN (Credential# 567633) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 12, 2000. The license expiration date date is May 31, 2001. The license status is INACTIVE.
STEPHANIE M VAN FOSSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.063623. The credential type is registered nurse. The effective date is June 12, 2000. The expiration date is May 31, 2001. The business address is 6300 Old Canton Road, Jackson, MS 39211. The current status is inactive.
| Licensee Name | STEPHANIE M VAN FOSSEN |
| Credential ID | 567633 |
| Credential Number | 10.063623 |
| Credential Type | Registered Nurse |
| Business Address |
6300 Old Canton Road Jackson MS 39211 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-06-12 |
| Effective Date | 2000-06-12 |
| Expiration Date | 2001-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 6300 Old Canton Road |
| City | Jackson |
| State | MS |
| Zip Code | 39211 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary H Sawardecker | 57 Woodridge Place, Jackson, MS 39211 | Licensed Practical Nurse | 2017-02-01 ~ 2018-01-31 |
| Robert L Crocker | 4264 East Ridge Drive, Jackson, MS 39211 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
| Shantrice Williams | 32a Northtown Rd, Jackson, MS 39211 | Registered Nurse | 2014-05-01 ~ 2015-05-31 |
| Richard C Miller | 2229 Greenbriar Drive, Jackson, MS 39211 | Physician/surgeon | 2008-09-12 ~ 2009-11-30 |
| Sunder H Jagwani | 39 Polo Drive, Jackson, MS 39211 | Physician/surgeon | 1992-06-25 ~ 1993-05-31 |
| Frank L Lauro | 51 Northtown Dr, Jackson, MS 39211 | Physician/surgeon | 1996-12-11 ~ 1997-12-31 |
| Gwendolyn I Mosley | 1231 Greenbriar St, Jackson, MS 39211 | Registered Nurse | 2006-09-26 ~ 2007-10-31 |
| Lily L Caldwell | 5146 Ridgewood Road, Jackson, MS 39211 | Registered Nurse | 2007-08-10 ~ 2008-09-30 |
| Treva R Gilbert | 2501 River Oaks Boulevard, Jackson, MS 39211 | Registered Nurse | 2001-08-09 ~ 2002-09-30 |
| Andrea Hood | 258 Park Lane Pl, Jackson, MS 39211-2462 | Registered Nurse | ~ |
| Find all Licenses in zip 39211 | |||
| City | Jackson |
| Zip Code | 39211 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Jackson |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie A Bartoli | 9 Stephanie Lane, Oakville, CT 06779 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Stephanie J Roe | 9 New Ln Fl 1, Cromwell, CT 06416-2059 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| Stephanie E Cocus | 224 Rr 4, Bluefield, WV 24701-9233 | Registered Nurse | ~ |
| Stephanie Roldan | 17 Day St, New Britain, CT 06051-2811 | Registered Nurse | 2019-09-11 ~ 2020-09-30 |
| Stephanie R Metz | 508 2nd Ave Nw, Minot, ND 58703 | Registered Nurse | 2015-09-17 ~ 2016-03-31 |
| Stephanie W Suggs | P.o Box 717, Denton, NC 27239 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Stephanie Arce | 76 Sunnyside Ave, Waterbury, CT 06708-3525 | Registered Nurse | ~ |
| Stephanie J Zavadsky | 207 Fox Run, Shelton, CT 06484-2866 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Stephanie Rea Duggan | 100 Walter St, Lorena, TX 76655-9788 | Registered Nurse | ~ |
| Stephanie Kidwell | 12-07 154 St, Whitestone, NY 11357 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
Please comment or provide details below to improve the information on STEPHANIE M VAN FOSSEN.
| 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).