MARY R SERAVALLI LNM (Credential# 650386) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 3, 1999. The license expiration date date is October 31, 2000. The license status is INACTIVE.
MARY R SERAVALLI LNM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R50639. The credential type is registered nurse. The effective date is September 3, 1999. The expiration date is October 31, 2000. The business address is 155 Washington Drive, Mastic Beach, NY 11951. The current status is inactive.
| Licensee Name | MARY R SERAVALLI LNM |
| Credential ID | 650386 |
| Credential Number | 10.R50639 |
| Credential Type | Registered Nurse |
| Business Address |
155 Washington Drive Mastic Beach NY 11951 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-12-23 |
| Effective Date | 1999-09-03 |
| Expiration Date | 2000-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 694616 | 16.000108 | Licensed Nurse Midwife | 1995-03-17 | 1999-09-03 - 2000-10-31 | INACTIVE |
| 164105 | CSP.0023126 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 155 WASHINGTON DRIVE |
| City | MASTIC BEACH |
| State | NY |
| Zip Code | 11951 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sadia Saad | 142 River Road, Shirley, NY 11951 | Physician/surgeon | 2018-08-10 ~ 2019-03-31 |
| Fred J Soviero · Speed Wire Inc | 140 Laurelton Dr, Mastic Beach, NY 11951 | Electrical Limited Journeyperson | ~ |
| Marilyn S Hecht Brower | 120 Lynbrook Drive, Mastic Beach, NY 11951 | Hairdresser/cosmetician | 2010-08-01 ~ 2012-07-31 |
| William E Hanlon | 157 May Wood Drive, Mastic Beach, NY 11951 | Emergency Medical Technician | 2008-10-08 ~ 2010-07-01 |
| Andrew Alfano | 205 Riviera Dr, Mastic Beach, NY 11951 | Certified Residential Real Estate Appraiser | 2008-05-01 ~ 2009-04-30 |
| Matthew Marracelli | 22 Wavecrest Dr, Mastic Beach, NY 11951 | Electrical Unlimited Journeyperson | ~ |
| John Krzemien | 190 Commack Rd, Mastic Beach, NY 11951 | Electrical Unlimited Journeyperson | ~ |
| Donna J Rank · Coldwell Banker R E Referral Inc | Po Box 210, Mastic Beach, NY 11951 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Dominic Dibari | 355 Orchid Dr, Mastic Beach, NY 11951-1228 | Engineer-in-training | 1989-02-14 ~ 1999-02-14 |
| Anthony Costa | 38 Shore Dr, Mastic Beach, NY 11951-2106 | Asbestos Abatement Supervisor | 2019-05-01 ~ 2020-04-30 |
| Find all Licenses in zip 11951 | |||
| City | MASTIC BEACH |
| Zip Code | 11951 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + MASTIC BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Theresa D Seravalli | 10 Gail Rd, Farmington, CT 06032 | Registered Nurse | 2006-05-09 ~ 2007-05-31 |
| Donna M Seravalli | 145 New Haven Avenue, Orange, CT 06477 | Notary Public Appointment | 1990-11-01 ~ 1995-03-31 |
| Mary M Cornelius | 197 Mary Ellen Drive, Milford, CT 06460 | Registered Nurse | 2001-04-19 ~ 2002-06-30 |
| Mary M Bazaldua | 12 Mary Road, Burlington, CT 06013 | Registered Nurse | 1992-12-22 ~ 1993-12-31 |
| Mary Jo Duddie | 22 Mary Ln, Colchester, CT 06415-2305 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| Mary Beth Spillane · Mary Beth Abram | 145 Carriage Way, Windsor, CT 06095 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary M Johnson | CT | Registered Nurse | ~ |
| Mary E Caswell · Mary's Masonary | 3 Stillman Rd, North Stonington, CT 06359-1734 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Mary Jean Thibodeau · Lenthe | 52 Mary Ln, Vernon Rockville, CT 06066-2814 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary L Oberly | P O Box 407, Newfane, VT 05345 | Registered Nurse | 1996-05-15 ~ 1997-06-30 |
Please comment or provide details below to improve the information on MARY R SERAVALLI LNM.
| 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).