PATRICIA M FORMAN (Credential# 639034) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PATRICIA M FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R32815. The credential type is registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 914 Maple Hill Rd, Guilford, CT 06437. The current status is active.
| Licensee Name | PATRICIA M FORMAN |
| Credential ID | 639034 |
| Credential Number | 10.R32815 |
| Credential Type | Registered Nurse |
| Business Address |
914 Maple Hill Rd Guilford CT 06437 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1980-01-18 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-19 |
| Street Address | 914 MAPLE HILL RD |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + GUILFORD |
| 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 |
| 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 |
| Matthew C Forman | 21 Bellewood Cir, Syracuse, NY 13212-3201 | Registered Nurse | 2011-03-14 ~ 2012-01-31 |
| Sarah E Forman | 261 Centerbrook Rd, Hamden, CT 06518-3413 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Forman Industries Inc · F I Companies | 3150 Bordentown Ave, Old Bridge, NJ 08857-9703 | Major Contractor | 2017-05-09 ~ 2017-06-30 |
| Leila B Forman | 100 Howe Street, New Haven, CT 06511 | Registered Nurse | 2008-01-14 ~ 2009-02-28 |
| Mary Forman | 2681 Anthony Ave, Bellmore, NY 11710-4619 | Registered Nurse | 2020-02-20 ~ 2020-05-31 |
| Rosha N Forman | 82 East Pearl Street, New Haven, CT 06513 | Registered Nurse | 2007-11-01 ~ 2008-11-30 |
| Sandi Richards Forman | 31 Milwaukee Avenue, Bethel, CT 06801 | Certified Public Accountant Firm Permit | 1990-02-22 ~ 1990-12-31 |
Please comment or provide details below to improve the information on PATRICIA M FORMAN.
| 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).