PHYLLIS M CLARK (Credential# 657221) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 15, 1994. The license expiration date date is November 30, 1994. The license status is INACTIVE.
PHYLLIS M CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.004873. The credential type is licensed practical nurse. The effective date is February 15, 1994. The expiration date is November 30, 1994. The business address is 135 Anthony Dr, Bristol, CT 06010. The current status is inactive.
| Licensee Name | PHYLLIS M CLARK |
| Credential ID | 657221 |
| Credential Number | 11.004873 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
135 Anthony Dr Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1955-11-22 |
| Effective Date | 1994-02-15 |
| Expiration Date | 1994-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 135 ANTHONY DR |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie E Sassu | 135 Anthony Dr, Bristol, CT 06010-4836 | Barber | 2020-07-01 ~ 2022-06-30 |
| David S Wozniak | 135 Anthony Dr, Bristol, CT 06010-4836 | Plumbing & Piping Unlimited Contractor | 2019-11-14 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phyllis A Green | Rr-1 Box 677, Putney, VT 05346 | Licensed Practical Nurse | 1995-02-27 ~ 1996-02-29 |
| Phyllis J Olson | 39 Puritan Rd, Bristol, CT 06010 | Licensed Practical Nurse | 1995-08-02 ~ 1996-09-30 |
| Phyllis H Thomas | 6 Brookfield Rd, Waterbury, CT 06704 | Licensed Practical Nurse | 1995-04-26 ~ 1996-06-30 |
| Phyllis M Brown | 40 Gilbert Ave, Bloomfield, CT 06002 | Licensed Practical Nurse | 1998-08-07 ~ 1999-05-31 |
| Phyllis C Trexler | 197 Alexander Rd, New Britain, CT 06053 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Phyllis J Andersen | 990 W Main St Apt 315, Waterbury, CT 06708-2625 | Licensed Practical Nurse | 2019-04-01 ~ 2020-03-31 |
| Phyllis A Rogovsky | 155 Smith St Apt 2f, Derby, CT 06418-1244 | Licensed Practical Nurse | 2016-07-01 ~ 2017-06-30 |
| Phyllis L Goggins Lpn | 12 Waverly St, Hartford, CT 06112-1620 | Licensed Practical Nurse | 2015-01-01 ~ 2015-12-31 |
| Phyllis M Torlish | 30 Gordon Ave, Bedford, NY 10506 | Licensed Practical Nurse | 2006-08-09 ~ 2007-09-30 |
| Phyllis A Lovecchio | 75 Blake Rd, Monroe, CT 06468 | Licensed Practical Nurse | 1992-08-26 ~ 1993-10-31 |
Please comment or provide details below to improve the information on PHYLLIS M CLARK.
| 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).