DONNA J BROCCOLINO (Credential# 578632) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 22, 2004. The license expiration date date is January 31, 2005. The license status is INACTIVE.
DONNA J BROCCOLINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.074628. The credential type is registered nurse. The effective date is October 22, 2004. The expiration date is January 31, 2005. The business address is 4018 Pebble Branch Road, Elliott City, MD 21042. The current status is inactive.
| Licensee Name | DONNA J BROCCOLINO |
| Credential ID | 578632 |
| Credential Number | 10.074628 |
| Credential Type | Registered Nurse |
| Business Address |
4018 Pebble Branch Road Elliott City MD 21042 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-10-22 |
| Effective Date | 2004-10-22 |
| Expiration Date | 2005-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 4018 Pebble Branch Road |
| City | Elliott City |
| State | MD |
| Zip Code | 21042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marilyn L Koza | 2280 Ballard Way, Ellicott City, MD 21042 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Rebecca A Bunnell | 4610 Learned Sage, Ellicott City, MD 21042 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Sara Case | 9359 Duff Court, Ellicott City, MD 21042 | Registered Nurse | 2020-02-27 ~ 2020-12-31 |
| Jason P Bashura | 3114 Ramblewood Rd, Ellicott City, MD 21042 | Registered Sanitarian | 2020-01-01 ~ 2020-12-31 |
| Mahalingam Balakrishnan | 9909 Carrigan Drive, Ellicott City, MD 21042 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Grace Yeon Son | 3809 Portman Place, Ellicott City, MD 21042 | Speech and Language Pathologist | ~ |
| Heather K Dull | 4269 Buckskinwood Dr, Ellicott City, MD 21042 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Michael J Steinberg | 4760 Leyden Way, Ellicott City, MD 21042 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| William H Allen | 10310 Cromwell Ct, Ellicott City, MD 21042 | Professional Engineer | 1997-07-02 ~ 1998-01-31 |
| Manol Andonyadis | 4747 Hallowed Stream, Ellicott City, MD 21042 | Professional Engineer | 1800-12-27 ~ 1994-01-31 |
| Find all Licenses in zip 21042 | |||
| City | Elliott City |
| Zip Code | 21042 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Elliott City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Ryan | 15 Donna Lane, Branford, CT 06405 | Registered Nurse | 2006-07-06 ~ 2007-06-30 |
| Donna Goldsmith · Donna Kelson-goldsmith | 1598 New Haven Avenue, Milford, CT 06460 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Donna S Field | Donna S. Field, Manchester, CT 06042 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Donna H Ellis | Apo Ae, 09009 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Donna M Dow | 336 Mapleton Ave, Suffield, CT 06078 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Donna M Culp | Box 248, Blandon, PA 19510 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Donna A Gawe | P O Box 215, Perry, ME 04667 | Registered Nurse | 1998-10-01 ~ 1999-10-31 |
| Donna A Keazer | 781 3rd St. S.w., Naples, FL 34117 | Registered Nurse | 2009-06-30 ~ 2009-12-31 |
| Donna G Johnson | Po Box 449, Barre, VT 05641 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Donna L Roncarti | P O Box 366, Southbury, CT 06488 | Registered Nurse | 2013-08-01 ~ 2014-07-31 |
Please comment or provide details below to improve the information on DONNA J BROCCOLINO.
| 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).