SUSAN L FARGO (Credential# 592162) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.
SUSAN L FARGO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.088160. The credential type is registered nurse. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 102 South Street, Willimantic, CT 06226. The current status is inactive.
| Licensee Name | SUSAN L FARGO |
| Doing Business As | SMITH |
| Credential ID | 592162 |
| Credential Number | 10.088160 |
| Credential Type | Registered Nurse |
| Business Address |
102 South Street Willimantic CT 06226 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-03-05 |
| Effective Date | 2017-10-01 |
| Expiration Date | 2018-09-30 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 663343 | 11.017167 | Licensed Practical Nurse | 1977-12-01 | 2008-09-04 - 2009-09-30 | INACTIVE |
| Street Address | 102 SOUTH STREET |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vasiliko Liapes · Mamas Pizza | 277 Ash Street, Willimantic, CT 06226 | Restaurant Wine & Beer | 2020-04-28 ~ 2021-08-27 |
| Janet G Ragno | 46 Fairview Street, Willimantic, CT 06226 | Nursing Home Administrator | 2020-08-01 ~ 2022-07-31 |
| Tim Devivo | 1590 W Main St, Willimantic, CT 06226 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Antonio Manuel Santos | 661 Windham Rd, Windham, CT 06226 | Tattoo Technician | 2020-06-25 ~ 2022-06-30 |
| Rent A Center East Inc · Rent A Center #05068 | 1329 Main Street, Willimantic, CT 06226 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Shaunda Baker | 90 South Street, Willimantic, CT 06226 | Medication Administration Certification | 2020-07-12 ~ 2022-07-11 |
| Willimantic Shell | 1563 West Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth A Bailey | 152 Main St, Willimantic, CT 06226 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Royal Buffet | 1228 Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Builders Concrete East LLC · Windham Sand & Stone Inc | 75 N Windham Rd, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06226 | |||
| City | WILLIMANTIC |
| Zip Code | 06226 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WILLIMANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan N Foss | 2651 36th Ave. S., Fargo, ND 58104 | Hairdresser/cosmetician | 2004-10-05 ~ 2006-09-30 |
| Keisha Obi | 85 Fargo St, Springfield, MA 01119-1444 | Registered Nurse | 2014-08-07 ~ 2014-12-31 |
| Debra Lyn Matthews | 19 8th St S # 308, Fargo, ND 58103-1804 | Registered Nurse | 2020-05-04 ~ 2021-05-31 |
| Abenaa S Asiama | Po Box 9332, Fargo, ND 58106-9332 | Registered Nurse | 2011-03-01 ~ 2012-03-31 |
| Betty Fargo | 218 Middlesex Ave, Chester, CT 06412 | Registered Nurse | 1996-03-07 ~ 1997-05-31 |
| Roberta J Engquist | 1546 5th Ave South, Fargo, SD 58103 | Registered Nurse | 2003-08-25 ~ 2004-09-30 |
| Jennifer L Schwinden | 1242 N 2nd Street, Fargo, ND 58102 | Registered Nurse | 2004-07-07 ~ 2005-08-31 |
| Amy Leigh Parsons | 5207 33rd Ave S Apt 313, Fargo, ND 58104-7469 | Registered Nurse | 2018-02-26 ~ 2018-08-31 |
| Louisa M Mcfarlen | 3207 23rd Ave S, Fargo, ND 58103 | Registered Nurse | 2008-11-07 ~ 2009-10-31 |
| Doris B Fargo | 19 Crescent Dr, East Hartford, CT 06118 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
Please comment or provide details below to improve the information on SUSAN L FARGO.
| 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).