MICHELLE M FARRIS (Credential# 673104) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2004. The license expiration date date is June 30, 2005. The license status is INACTIVE.
MICHELLE M FARRIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.029302. The credential type is licensed practical nurse. The effective date is June 18, 2004. The expiration date is June 30, 2005. The business address is 7161 Livingston Road, Gibson, NC 28343. The current status is inactive.
Licensee Name | MICHELLE M FARRIS |
Doing Business As | Boucher |
Credential ID | 673104 |
Credential Number | 11.029302 |
Credential Type | Licensed Practical Nurse |
Business Address |
7161 Livingston Road Gibson NC 28343 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2002-07-03 |
Effective Date | 2004-06-18 |
Expiration Date | 2005-06-30 |
Refresh Date | 2009-07-08 |
Street Address | 7161 Livingston Road |
City | Gibson |
State | NC |
Zip Code | 28343 |
City | Gibson |
Zip Code | 28343 |
License Type | Licensed Practical Nurse |
License Type + County | Licensed Practical Nurse + Gibson |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michelle Farris | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 1999-03-26 ~ 2001-03-25 |
Michelle Gohl | P.o Box 124, Barkhamstead, CT 06063 | Licensed Practical Nurse | 2007-03-08 ~ 2008-02-29 |
Michelle C Cuff | Po Box 220, Sherman, CT 06784 | Licensed Practical Nurse | 2007-05-21 ~ 2008-03-31 |
Michelle Duclet | 921 Myrtle Ave Apt 7e, Brooklyn, NY 11206-6533 | Licensed Practical Nurse | ~ |
Michelle J Grant | 10 Oak St, Enfield, CT 06082-4723 | Licensed Practical Nurse | 2019-06-01 ~ 2020-05-31 |
Michelle A Mellan | Po Box 764, Hillsdale, NY 12529 | Licensed Practical Nurse | 2009-01-21 ~ 2009-10-31 |
Michelle L Fusco | 162 Koa Ln, Statesville, NC 28677-9751 | Licensed Practical Nurse | 2013-05-01 ~ 2014-04-30 |
Michelle C Roa | 332 Canaan Rd, Stratford, CT 06614-4614 | Licensed Practical Nurse | 2018-09-01 ~ 2019-08-31 |
Michelle L Cyr | 192 Spring St, Manchester, CT 06040-6665 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
Michelle G Ford | 107 Broad St, Albany, NY 12202 | Licensed Practical Nurse | ~ |
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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).