DORIS M FOUNTAIN (Credential# 665031) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 12, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.
DORIS M FOUNTAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.020106. The credential type is licensed practical nurse. The effective date is May 12, 2005. The expiration date is June 30, 2006. The business address is 1516 Burek Ave, Wausau, WI 54401. The current status is inactive.
| Licensee Name | DORIS M FOUNTAIN |
| Credential ID | 665031 |
| Credential Number | 11.020106 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
1516 Burek Ave Wausau WI 54401 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1982-11-22 |
| Effective Date | 2005-05-12 |
| Expiration Date | 2006-06-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 1516 BUREK AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Rose Dale | 1002 North 16th Ave, Wausau, WI 54401 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Frank M Scinto | 1700 Baneberry Ct, Wausau, WI 54401 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Suzanne M Schroeder · Rice | 207 Windree Drive, Wausau, WI 54401 | Advanced Practice Registered Nurse | 2013-08-01 ~ 2014-07-31 |
| Lori A Degenhardt | 1506 Bluebird Lane, Wausau, WI 54401 | Registered Nurse | 2006-04-20 ~ 2007-03-31 |
| Stacie L Johnston | 5307 Sherman Street, Wausau, WI 54401 | Registered Nurse | ~ 2000-02-29 |
| American Society for Laser Medicine and Surgery Inc. | 2100 Stewart Ave Ste 240, Wausau, WI 54401-1709 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Theresa A Graveen | 2613 Teal Ave, Wausau, WI 54401-7162 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Jane C Poirier | 3108 Rib Mountain Way, Wausau, WI 54401-9423 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gera Beth Zuelsdorff | 3935 N 6th St, Wausau, WI 54403-2274 | Registered Nurse | ~ |
| Jennifer R Webb | 420 Ruder St, Wausau, WI 54403-6603 | Licensed Practical Nurse | ~ |
| Rayna J Bancuk | 505 Eau Claire Blvd, Wausau, WI 54403-7084 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jessica Nowak | 172330 Landing Rd, Wausau, WI 54403-5445 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Ronald L Grilley | 1825 Townline Rd, Wausau, WI 54403 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
| Charles R Carroll | 621 Fulton St, Wausau, WI 54403-4763 | Registered Nurse | 2015-09-01 ~ 2016-08-31 |
| Kathleen A Burek | 410 Aspen Grove Lane, Wausau, WI 54403 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
| Brian C Barry | 216 Tuzigoot Ln, Wausau, WI 54403-9360 | Temporary Certified General Real Estate Appraiser | 2012-11-06 ~ 2013-05-06 |
| Michael R Slaminski | 731 Augusta Ave, Wausau, WI 54403-3334 | Physical Therapist | 2009-07-30 ~ 2010-05-31 |
| Theresa Johnson · Lass | 621 Townline Rd, Wausau, WI 54403 | Registered Nurse | ~ 1999-06-30 |
| Find all Licenses in WAUSAU | |||
| City | WAUSAU |
| Zip Code | 54401 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + WAUSAU |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natosha S Howard | 11 Fountain Ter, New Haven, CT 06515-1823 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Jacqueline A Borelli | 226 Fountain St Apt 105, New Haven, CT 06515-1940 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Staci L Stewart | 514 Fountain St, New Haven, CT 06515 | Licensed Practical Nurse | 2019-10-01 ~ 2020-09-30 |
| Nerissa A Rustamova | 129 Fountain St, Springfield, MA 01108-3028 | Licensed Practical Nurse | 2013-11-18 ~ 2014-02-28 |
| Barbara A Martin | 165 Fountain St Apt A2, New Haven, CT 06515-1920 | Licensed Practical Nurse | 2014-05-01 ~ 2015-04-30 |
| Debra L Goforth | 95 Fountain St Unit 3433, New Haven, CT 06515-7728 | Licensed Practical Nurse | ~ |
| Shirley A Fountain | 2081 Park Ave, Bridgeport, CT 06604 | Licensed Practical Nurse | 1995-06-14 ~ 1995-08-31 |
| Marjorie E Esdaile | 70 Fountain Terrace, New Haven, CT 06515 | Licensed Practical Nurse | 2006-12-22 ~ 2008-01-31 |
| Tracey M Fountain | 249 New Britain Avenue, Hartford, CT 06106 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Karen A Guity | 226 Fountain Street, New Haven, CT 06515 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on DORIS M FOUNTAIN.
| 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).