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.
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.
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 |
Street Address | 100 Howe Street |
City | New Haven |
State | CT |
Zip Code | 06511 |
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 |
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 |
---|---|---|---|
Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
Leila Lane(i) | 3 Leila Lane, Ellington, CT 06029 | Community Living Arrangement | 2019-01-01 ~ 2020-12-31 |
Leila Lane | 3 Leila Lane, Ellington, CT 06029 | Community Living Arrangement | 2019-07-01 ~ 2020-12-31 |
Ce Forman T V & Applian · Forman T V & Appliance | E Liberty St, Chester, CT 06412 | Tv & Radio Service Dealer | ~ |
The Forman School Inc · Peirce Dining Hall | 12 Norfolk Rd, Litchfield, CT 06759-2537 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
Sarah E Forman | 261 Centerbrook Rd, Hamden, CT 06518-3413 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Matthew C Forman | 21 Bellewood Cir, Syracuse, NY 13212-3201 | Registered Nurse | 2011-03-14 ~ 2012-01-31 |
Forman Industries Inc · F I Companies | 3150 Bordentown Ave, Old Bridge, NJ 08857-9703 | Major Contractor | 2017-05-09 ~ 2017-06-30 |
Leila Li | 52b Locust St, Milford, CT 06461-3541 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Patricia M Forman | 914 Maple Hill Rd, Guilford, CT 06437 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
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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).