BEVERLY E POLJACIK (Credential# 620220) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 19, 1995. The license expiration date date is March 31, 1996. The license status is INACTIVE.
BEVERLY E POLJACIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E51123. The credential type is registered nurse. The effective date is June 19, 1995. The expiration date is March 31, 1996. The business address is P O Box 827, Wilder, VT 05088. The current status is inactive.
Licensee Name | BEVERLY E POLJACIK |
Credential ID | 620220 |
Credential Number | 10.E51123 |
Credential Type | Registered Nurse |
Business Address |
P O Box 827 Wilder VT 05088 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1988-09-01 |
Effective Date | 1995-06-19 |
Expiration Date | 1996-03-31 |
Refresh Date | 2009-07-08 |
Street Address | P O BOX 827 |
City | WILDER |
State | VT |
Zip Code | 05088 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joann L Brauer | 1556 Hartford Avenue, Wilder, VT 05088 | Pharmacist | 2005-02-01 ~ 2006-01-31 |
Eileen R Kenny | Po Box 1131, Wilder, VT 05088 | Hairdresser/cosmetician | 2007-02-28 ~ 2008-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard A Moore | 310 Timber Ridge Dr Unit 11, Wilder, KY 41071-3364 | Fire Protection Unlimited Journeyperson | ~ |
Svetlana Lvovich | 1318 Aspen Pines Drive, Wilder, KY 41071 | Physician/surgeon | 2004-08-23 ~ 2005-08-31 |
Paige L Mel · Gonska | 3 Trailridge Lane, Wilder, KY 41076 | Licensed Practical Nurse | 1997-09-11 ~ 1998-09-30 |
City | WILDER |
Zip Code | 05088 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + WILDER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sherry Beth Poljacik | 11 Avon Street, Norwalk, CT 06851 | Notary Public Appointment | 2016-07-01 ~ 2021-06-30 |
Beverly Paul | CT | Registered Nurse | 1990-12-03 ~ 1993-08-30 |
Beverly D Brill | Po Box 687, Mason, OH 45040-0687 | Registered Nurse | 2010-07-01 ~ 2011-06-30 |
Beverly J Smith | Po Box 21, Marlborough, CT 06447-0021 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
Beverly L Hitchman | P O Box 272, Lyle, WA 98635 | Registered Nurse | 1999-01-08 ~ 2000-02-29 |
Beverly S Jucknath | 210 N 1st Ave, Wauchula, FL 33873-2306 | Registered Nurse | 2015-06-01 ~ 2016-05-31 |
Beverly D Cecire | Rd #1, Orange, VA 22960 | Registered Nurse | 1999-11-12 ~ 2000-10-31 |
Beverly N Phillips | Po Box 449, Grimstead, VA 23064 | Registered Nurse | 2012-09-01 ~ 2013-08-31 |
Beverly A Wright | Po Box 444, Waterford, CT 06385-0444 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Beverly J Rose | P.o. Box 13, Hebron, CT 06248 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BEVERLY E POLJACIK.
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).