PHYLLIS R CHAMPAGNE (Credential# 664248) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
PHYLLIS R CHAMPAGNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.018769. The credential type is licensed practical nurse. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 39 Beechwood Blvd, Plainfield, CT 06374. The current status is active.
| Licensee Name | PHYLLIS R CHAMPAGNE |
| Credential ID | 664248 |
| Credential Number | 11.018769 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
39 Beechwood Blvd Plainfield CT 06374 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1980-06-06 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-03-06 |
| Street Address | 39 BEECHWOOD BLVD |
| City | PLAINFIELD |
| State | CT |
| Zip Code | 06374 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Schroth | 21 Lovers Ln, Plainfield, CT 06374 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amy E Therrien | 416 Starkweather Road, Plainfield, CT 06374 | Real Estate Salesperson | ~ |
| Janis Mcmaster | 262 Pickett Rd, Plainfield, CT 06374 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
| Todd Lepine | 9 Lori Drive, Plainfield, CT 06374 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Claire R Desrosiers | 36 Toper Road, Plainfield, CT 06374 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Bakers Dozen of Plainfield LLC · Bakers Dozen of Plnfld Db | 767 Norwich Rd, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kristen Malbaurn | 144 Plainfield Pike, Plainfield, CT 06374 | Medication Administration Certification | 2018-06-18 ~ 2020-06-17 |
| Subway 56447 | 1-395 Plainfield Service Pza Sb, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway 56446 | 1-395 Plainfield Service Plaza N B, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Josephine A Maben | 24 North Street, Plainfield, CT 06374 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06374 | |||
| City | PLAINFIELD |
| Zip Code | 06374 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + PLAINFIELD |
| 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 R Drost | Po Box 7255, Prospect, CT 06712-0255 | Licensed Practical Nurse | 2018-09-01 ~ 2019-08-31 |
| Phyllis M Brown | 40 Gilbert Ave, Bloomfield, CT 06002 | Licensed Practical Nurse | 1998-08-07 ~ 1999-05-31 |
| Phyllis A Rogovsky | 155 Smith St Apt 2f, Derby, CT 06418-1244 | Licensed Practical Nurse | 2016-07-01 ~ 2017-06-30 |
| Phyllis C Trexler | 197 Alexander Rd, New Britain, CT 06053 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Phyllis D Giguere | 14 Jefferson Dr, Londonderry, NH 03053 | Licensed Practical Nurse | 1993-08-25 ~ 1994-05-31 |
| Phyllis L Russo | Po Box 141, Wake Forest, NC 27588-0141 | Licensed Practical Nurse | 2017-02-01 ~ 2017-11-30 |
| Phyllis C Riddick | 984 Willard Ave, Newington, CT 06111 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Phyllis J Olson | 39 Puritan Rd, Bristol, CT 06010 | Licensed Practical Nurse | 1995-08-02 ~ 1996-09-30 |
| Phyllis B Davis | 87 North St, Trumbull, CT 06611 | Licensed Practical Nurse | 1994-03-07 ~ 1995-03-31 |
Please comment or provide details below to improve the information on PHYLLIS R CHAMPAGNE.
| 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).