CHAD D BLACKAK
Registered Nurse


Address: 76 Monroe Street, Agawam, MA 01001

CHAD D BLACKAK (Credential# 656472) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.

Business Overview

CHAD D BLACKAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R56731. The credential type is registered nurse. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 76 Monroe Street, Agawam, MA 01001. The current status is inactive.

Basic Information

Licensee Name CHAD D BLACKAK
Credential ID 656472
Credential Number 10.R56731
Credential Type Registered Nurse
Business Address 76 Monroe Street
Agawam
MA 01001
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-04-23
Effective Date 2015-01-01
Expiration Date 2015-12-31
Refresh Date 2016-04-04

Office Location

Street Address 76 MONROE STREET
City AGAWAM
State MA
Zip Code 01001

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pamela J Freeman Brown 1324 Main Street, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Ashley Erin Dimauro 25 Deer Run Road, Agawam, MA 01001 Registered Nurse ~
Lou A Fitch 60 Mallard Circle, Agawam, MA 01001 Notary Public Appointment 2015-04-01 ~ 2020-03-31
Maryanne Catanzaro · Catanzaro,leone 16 Channell Drive, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Sunhee Hwang 54 River Rd, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-17 ~ 2021-10-31
Taehoon An 58 River Rd, Agawam, MA 01001 Nail Technician 2020-06-17 ~ 2022-05-31
Ji Hye Safarik 119 Albert St, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-16 ~ 2022-02-28
Consuelo Ana Leblanc 39 Hunting Lane, Agawam, MA 01001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Sangkeun Yi 322 Meadow St, Agwam, MA 01001 Nail Technician 2020-06-12 ~ 2022-06-30
Kyunghee Koh 56 River Road, Agawam, MA 01001 Nail Technician 2020-06-12 ~ 2021-08-31
Find all Licenses in zip 01001

Competitor

Search similar business entities

City AGAWAM
Zip Code 01001
License Type Registered Nurse
License Type + County Registered Nurse + AGAWAM

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Dataset Information

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).

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