AUDREY M MAZOTAS (Credential# 632527) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 27, 1992. The license expiration date date is February 28, 1993. The license status is INACTIVE.
AUDREY M MAZOTAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R16360. The credential type is registered nurse. The effective date is May 27, 1992. The expiration date is February 28, 1993. The business address is 2595 N 3rd E, Mountain Home, ID 83647. The current status is inactive.
| Licensee Name | AUDREY M MAZOTAS |
| Credential ID | 632527 |
| Credential Number | 10.R16360 |
| Credential Type | Registered Nurse |
| Business Address |
2595 N 3rd E Mountain Home ID 83647 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1964-02-07 |
| Effective Date | 1992-05-27 |
| Expiration Date | 1993-02-28 |
| Refresh Date | 2009-07-08 |
| Street Address | 2595 N 3RD E |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia A Terriberry | 675 Nth 8th East, Mountain Home, ID 83647 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Trinity Springs Inc | 1990 N Pine Featherville Rd, Pine, ID 83647 | Non-alcoholic Beverage & Water Bottlers | 2005-07-01 ~ 2006-06-30 |
| Rita A Farmer | 330 Norris Drive, Mountain Home, ID 83647 | Licensed Practical Nurse | 2004-02-05 ~ 2004-04-30 |
| Nephron Pharmaceuticals Corp | 1205 Hwy 20, Mountain Home, ID 83647 | Wholesaler of Drugs, Cosmetics & Medical Devices | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory A Burg | 820 Spring St, Mountain Home, AR 72653 | Engineer-in-training | 1992-02-11 ~ 2002-02-11 |
| Ashleigh Pettit | 1005 Brushy Knob Trl, Mountain Home, AR 72653-8516 | Master's Level Social Worker | 2019-12-01 ~ 2020-11-30 |
| Dora Alicia Reynes | 420 Sky Harbor Rd, Mountain Home, TX 78058 | Registered Nurse | 2018-06-26 ~ 2018-11-30 |
| American Stitcho Inc | 4662 Highway 62 W, Mountain Home, AR 72653-8679 | Manufacturer of Bedding & Upholstered Furniture | 2013-05-01 ~ 2014-04-30 |
| Christine Bechum Alexander Aprn | 921 Capitol Dr, Mountain Home, AR 72653-2052 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennette A Hibbs | 800 Oak Knoll Dr, Mountain Home, AR 72653-2155 | Physical Therapist | 2016-09-12 ~ 2017-09-30 |
| Matt D Ingram | 1131 Leonard Dr, Mountain Home, AR 72653-4833 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Marilyn J Callahan · Webb, Baturoni | 2111 West Rd Lot 15, Mountain Home, AR 72653-6998 | Licensed Practical Nurse | 2009-09-01 ~ 2010-08-31 |
| Karly M Buff | 697 Buff Rd, Mountain Home, AR 72653-8042 | Registered Nurse | 2009-11-23 ~ 2010-07-31 |
| Linda K Daspit | 325 Longfellow Dr, Mountain Home, AR 72653 | Registered Nurse | 2001-07-02 ~ 2002-05-31 |
| Find all Licenses in MOUNTAIN HOME | |||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + MOUNTAIN HOME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann R Mazotas | 5 Stephen Dr, Shelton, CT 06484 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Gloria Mazotas | 41 Coolidge Ave, Newington, CT 06111 | Notary Public Appointment | 1983-12-01 ~ 1988-03-31 |
| Audrey A Krieg | Box 135, Acworth, NH 03601 | Registered Nurse | 1998-11-23 ~ 1999-12-31 |
| Audrey H Dunn | Po Box 70, Stowe, VT 05672-0070 | Registered Nurse | 2010-04-01 ~ 2011-03-31 |
| Audrey Mammone | 678 Elm St, Maywood, NJ 07607-2049 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Audrey C Ralph | 328 Oak Rd, Glenside, PA 19038 | Registered Nurse | 1992-02-24 ~ 1993-02-28 |
| Audrey E Waddill | 50 Park Row W Apt 410, Providence, RI 02903-1146 | Registered Nurse | ~ |
| Dominique De Audrey Lee | 905 Mix Ave Apt 2e, Hamden, CT 06514-5113 | Registered Nurse | 2019-08-08 ~ 2020-08-31 |
| Leo Mazotas | 43 Sherwood Lane, Marlborough, CT 06447 | Family Child Care Assistant | 1997-04-30 ~ 1997-04-30 |
| Ioanna G Mazotas | 9 Riggs Ave, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on AUDREY M MAZOTAS.
| 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).