STACIA B BIRDSALL LNM (Credential# 579301) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.
STACIA B BIRDSALL LNM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.075298. The credential type is registered nurse. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 86 Mansfield St, New Haven, CT 06511. The current status is inactive.
| Licensee Name | STACIA B BIRDSALL LNM |
| Credential ID | 579301 |
| Credential Number | 10.075298 |
| Credential Type | Registered Nurse |
| Business Address |
86 Mansfield St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-04-01 |
| Effective Date | 2010-05-01 |
| Expiration Date | 2011-04-30 |
| Refresh Date | 2011-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 694809 | 16.000301 | Licensed Nurse Midwife | 2006-09-25 | 2008-04-22 - 2009-04-30 | INACTIVE |
| 451852 | CSP.0040710 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-02 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 86 MANSFIELD ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna Graham | 86 Mansfield St, New Haven, CT 06511 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Melissa J Kurtz | 86 Mansfield St, New Haven, CT 06511-3514 | Registered Nurse | 2011-08-01 ~ 2012-07-31 |
| Eden E Garber | 86 Mansfield St, New Haven, CT 06511 | Registered Nurse | 2008-09-25 ~ 2009-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Birdsall · Birdsall Contracting | 6 Eastern Way, Purdys, NY 10578 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Roy S Birdsall · Virginia S Birdsall | 78 Anawan Ave, Middlebury, CT 06762 | Real Estate Salesperson | 1999-06-01 ~ 2000-05-31 |
| Stacia S Miner, Cpa | 93 Pires Drive, Oakdale, CT 06370 | Certified Public Accountant Firm Permit | 2014-01-01 ~ 2014-12-31 |
| Stacia R Crockett | 122 Lakeview Ave, Hamden, CT 06514 | Registered Nurse | 2018-01-01 ~ 2018-12-31 |
| Stacia Shryock | 635 Bellerive Ct, Arnold, MD 21012 | Registered Nurse | 2016-01-08 ~ 2016-08-31 |
| Stacia A Dwy · Dianni | 12 Farmview Dr, New Milford, CT 06776 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Stacia J.r. Bracco · Rossi | 6 Red Fox Run, Wolcott, CT 06716-1512 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Stacia R Rice | 25 Quarry Dock Rd, Branford, CT 06405 | Registered Nurse | 1992-08-26 ~ 1993-10-31 |
| Stacia M Hipkins | 26538 N. 115th Street, Scottsdale, AZ 85255 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Stacia Sherry-ann Barrow | 30 Revere Dr Apt 1, Stamford, CT 06902-3336 | Registered Nurse - Temporary | 2020-02-27 ~ 2020-06-26 |
Please comment or provide details below to improve the information on STACIA B BIRDSALL LNM.
| 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).