JUDITH B FASANO (Credential# 639578) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 15, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.
JUDITH B FASANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R33943. The credential type is registered nurse. The effective date is April 15, 2004. The expiration date is May 31, 2005. The business address is 166 Canoe Pond Dr, Brewster, MA 02631. The current status is inactive.
| Licensee Name | JUDITH B FASANO |
| Credential ID | 639578 |
| Credential Number | 10.R33943 |
| Credential Type | Registered Nurse |
| Business Address |
166 Canoe Pond Dr Brewster MA 02631 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1981-01-21 |
| Effective Date | 2004-04-15 |
| Expiration Date | 2005-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 166 CANOE POND DR |
| City | BREWSTER |
| State | MA |
| Zip Code | 02631 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather Grenon | P.o. Box 367, 47 Maple Lane, Brewster, MA 02631 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Amanda J Reilly | 57 Sachemus Trail, Brewster, MA 02631 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven C Pisch | 103 Birch Lane, Brewster, MA 02631 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Barbara A Jellen | 27 Sheffield Road, Brewster, MA 02631 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Carolyn R Cistulli | 36 Badger Lane, Brewster, MA 02631 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Kathryn I Baranger | 78 Old Long Pond Road, Brewster, MA 02631 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Alex Deshields | 14 Highridge Rd, Brewster, MA 02631 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy M Capparelli | 43 Owl Pond Rd, Brewster, MA 02631 | Licensed Practical Nurse | 2017-10-01 ~ 2018-09-30 |
| Arnold W Miner | Apt 505 State St, Brewster, MA 02631 | Crane Operator | 2013-11-04 ~ 2015-11-03 |
| Joan L Kirkby · William Raveis Real Estate Inc | 158 Billington Lane, Brewster, MA 02631 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Find all Licenses in zip 02631 | |||
| City | BREWSTER |
| Zip Code | 02631 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + BREWSTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fasano's Sealcoating LLC | 57 Foley St, Bristol, CT 06010-5739 | Home Improvement Contractor | 2014-05-30 ~ 2014-11-30 |
| Mary P Fasano | 544 Park Rd, Watertown, CT 06795 | Registered Nurse | 2012-07-01 ~ 2013-06-30 |
| Candida Fasano | 16 Bliss Road, Warren, CT 06777 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Michele F Fasano | 21 Carriage Lane, Woodbury, CT 06798 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
| Susan Fasano · Castonguay | 74 Pilots Point Dr, Westbrook, CT 06498 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Nancy Fasano | 8904 Ne 17th Circle, Vancouver, WA 98664 | Registered Nurse | 2008-04-01 ~ 2009-03-31 |
| Karen T Fasano · Maietta | 90 Valley View Court, Southington, CT 06489-4417 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Judith M Ellis | 5 Judith Dr, North Reading, MA 01864 | Registered Nurse | 2008-10-20 ~ 2009-12-31 |
| Rosa Fasano | 39 Andrew Road, Wolcott, CT 06716 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Tina L Fasano | 1601 Bienville Blvd Apt 602, Dauphin Island, AL 36528-5305 | Licensed Practical Nurse | 2016-02-01 ~ 2017-01-31 |
Please comment or provide details below to improve the information on JUDITH B FASANO.
| 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).