GENEVA T GOUGH
Registered Nurse


Address: 28 Madera Drive, Waterbury, CT 06704

GENEVA T GOUGH (Credential# 625100) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

GENEVA T GOUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E56192. The credential type is registered nurse. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 28 Madera Drive, Waterbury, CT 06704. The current status is active.

Basic Information

Licensee Name GENEVA T GOUGH
Credential ID 625100
Credential Number 10.E56192
Credential Type Registered Nurse
Business Address 28 Madera Drive
Waterbury
CT 06704
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1993-10-01
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-10-02

Other licenses

ID Credential Code Credential Type Issue Term Status
665433 11.020753 Licensed Practical Nurse 1984-05-30 1993-08-25 - 1994-09-30 INACTIVE

Office Location

Street Address 28 MADERA DRIVE
City WATERBURY
State CT
Zip Code 06704

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eduardo Romero 939 Cooke St, Waterbury, CT 06704 Family Child Care Substitute 2020-07-01 ~ 2022-06-30
Regina A Field 263 Boyden Street, Waterbury, CT 06704 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Nicole L Moreno 85 Rose St. 3rd Fl, Waterbury, CT 06704 Registered Nurse 2020-07-01 ~ 2021-06-30
Tamira Latrese Abney 123 Mark Lane Unit 6, Waterbury, CT 06704 Emergency Medical Technician ~
Sarita A Smith 19 Shagbark Rd, Waterbury, CT 06704 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kayode A Akande 22 Sorrel Road, Waterbury, CT 06704 Respiratory Care Practitioner 2020-08-01 ~ 2021-07-31
Alaia's Market 874 No Main St, Waterbury, CT 06704 Non Legend Drug Permit 2020-06-25 ~ 2020-12-31
Prathon Battle Jr 108 Laurie Place, Waterbury, CT 06704 Medication Administration Certification 2018-07-24 ~ 2020-07-23
Waterbury Islamic Cultural Center Inc 140 Homer St Ste. A, Waterbury, CT 06704 Public Charity-exempt From Financial Requirements 2020-06-25 ~
Nivana M Douglas 131 Dwight St, Waterbury, CT 06704 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WATERBURY
Zip Code 06704
License Type Registered Nurse
License Type + County Registered Nurse + WATERBURY

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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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