ODETTE S JOHNSON (Credential# 579979) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ODETTE S JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.075976. The credential type is registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 71 Atwater Ave, Derby, CT 06418-1409. The current status is active.
| Licensee Name | ODETTE S JOHNSON |
| Credential ID | 579979 |
| Credential Number | 10.075976 |
| Credential Type | Registered Nurse |
| Business Address |
71 Atwater Ave Derby CT 06418-1409 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-07-14 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1644306 | 12.008169 | Advanced Practice Registered Nurse | 2019-04-18 | 2020-08-01 - 2021-07-31 | ACTIVE |
| 1650070 | CSP.0070669 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-18 | 2019-04-18 - 2021-02-28 | ACTIVE |
| Street Address | 71 ATWATER AVE |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1409 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine M Di Costanzo | 41 Atwater Ave, Derby, CT 06418-1409 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Joseph S Maler IIi · Maler Landscaping | 57 Atwater Ave, Derby, CT 06418-1409 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Christine M Basilicata | 41 Atwater Avenue, Derby, CT 06418-1409 | Notary Public Appointment | 2000-04-28 ~ 2005-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odette A Espaillat | 70 Ida Avenue, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Odette S Villard | 30 Rosemary Dr, Bridgeport, CT 06606-2001 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Odette A Amani | 516 Lake Bridge Ln, Apopka, FL 32703 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Odette A Anderson | 109 Woodlawn Street, Hamden, CT 06517 | Registered Nurse | 2003-09-17 ~ 2004-10-31 |
| Odette Kalenga Nkuili | 223 Soundview Avenue, Stratford, CT 06615 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Megan Odette Wagner | 24149 Bridgetown Rd, Goldsboro, MD 21636-1221 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Sonya Odette Taylor-jefferson | 8714 Padiski Ct, San Antonio, TX 78251-5004 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Odette Coley | 390 East St, New Britain, CT 06051-2739 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Nadine Johnson · Johnson | 16 Greenwood Avenue, Bloomfield, CT 06002 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Susan Dow Johnson · Johnson | 675 So Main Street, Unit A, Cheshire, CT 06410 | Registered Nurse | 2007-03-29 ~ 2008-05-31 |
Please comment or provide details below to improve the information on ODETTE S JOHNSON.
| 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).