MARYELLEN EISENBERG (Credential# 644513) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.
MARYELLEN EISENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R43263. The credential type is registered nurse. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 12 Dawn Drive, Westport, CT 06880. The current status is inactive.
| Licensee Name | MARYELLEN EISENBERG |
| Credential ID | 644513 |
| Credential Number | 10.R43263 |
| Credential Type | Registered Nurse |
| Business Address |
12 Dawn Drive Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-08-01 |
| Effective Date | 2016-09-01 |
| Expiration Date | 2017-08-31 |
| Refresh Date | 2017-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 316311 | RES.0764438 | REAL ESTATE SALESPERSON | - | EXPIRED APPLICATION |
| Street Address | 12 DAWN DRIVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harvey Eisenberg | 12 Dawn Drive, Westport, CT 06880 | Physician/surgeon | 2002-05-28 ~ 2003-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Eisenberg | 31 Woodland St, Apt. 11n, Hartford, CT 06105 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carol L Eisenberg · Spisak | 5 Shady Ln, Trumbull, CT 06611-2327 | Registered Nurse | 2010-11-01 ~ 2011-10-31 |
| Alice A Eisenberg | 154 Clinton Dr, South Windsor, CT 06074 | Registered Nurse | 1996-08-23 ~ 1997-08-31 |
| Carol A Eisenberg | 171 Lake Shore Drive, Colchester, CT 06415 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Dana Brunell Eisenberg | 125 Sawyers Path, Simsbury, CT 06070-9100 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Katherine A. Eisenberg | 1 Lawrence Ave, Bedford Hills, NY 10507-1913 | Advanced Practice Registered Nurse | 2019-11-05 ~ 2020-08-31 |
| Joanne F Eisenberg | 2840 So Ocean Blvd, Palm Beach, FL 33480 | Registered Nurse | 1997-06-05 ~ 1998-07-31 |
| Maria Mayer Eisenberg · Amezquita | 34 Tanager Lane, Gales Ferry, CT 06335 | Registered Nurse | 2003-04-29 ~ 2004-06-30 |
| Linenthal Eisenberg Anderson Inc | 38 Chauncy St, Boston, MA 02111 | Professional Engineering Corporation | 1996-03-10 ~ 1997-03-10 |
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| 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).