LEILA B FORMAN
Registered Nurse


Address: 100 Howe Street, New Haven, CT 06511

LEILA B FORMAN (Credential# 585817) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 14, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

LEILA B FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.081815. The credential type is registered nurse. The effective date is January 14, 2008. The expiration date is February 28, 2009. The business address is 100 Howe Street, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name LEILA B FORMAN
Credential ID 585817
Credential Number 10.081815
Credential Type Registered Nurse
Business Address 100 Howe Street
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-06-01
Effective Date 2008-01-14
Expiration Date 2009-02-28
Refresh Date 2009-07-08

Office Location

Street Address 100 Howe Street
City New Haven
State CT
Zip Code 06511

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Off Broadway Inc 100 Howe Street, New Haven, CT 06511 Home Improvement Contractor 2017-12-01 ~ 2018-11-30
Agnieszka Tworek 100 Howe Street, New Haven, CT 06511 Notary Public Appointment 2003-07-02 ~ 2008-07-31
Rodrick D Fox 100 Howe Street, New Haven, CT 06511-7018 Pharmacy Technician 1998-10-01 ~ 2000-03-31
Michele L Steinkamp 100 Howe Street, New Haven, CT 06511 Registered Nurse 1997-12-22 ~ 1998-12-31
Vincent F Zito 100 Howe Street, New Haven, CT 06500 Notary Public Appointment 1967-04-01 ~ 1972-03-31
Michael D Capone 100 Howe Street, New Haven, CT 06500 Notary Public Appointment 1962-11-01 ~ 1967-03-31

Licenses in the same zip code

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

Competitor

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City New Haven
Zip Code 06511
License Type Registered Nurse
License Type + County Registered Nurse + New Haven

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Dataset Information

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).

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