COLLEEN A FAVATA
Licensed Practical Nurse


Address: 375 S. Main, Manchester, CT 06040

COLLEEN A FAVATA (Credential# 673523) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 10, 2003. The license expiration date date is November 30, 2003. The license status is INACTIVE.

Business Overview

COLLEEN A FAVATA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.029721. The credential type is licensed practical nurse. The effective date is February 10, 2003. The expiration date is November 30, 2003. The business address is 375 S. Main, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name COLLEEN A FAVATA
Credential ID 673523
Credential Number 11.029721
Credential Type Licensed Practical Nurse
Business Address 375 S. Main
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-02-10
Effective Date 2003-02-10
Expiration Date 2003-11-30
Refresh Date 2009-07-08

Office Location

Street Address 375 S. Main
City Manchester
State CT
Zip Code 06040

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Kaylen Lam 60 Chlistone Lane, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matilde Altamirano 415 Gardner Street, Manchester, CT 06040 Nail Technician 2020-06-27 ~ 2022-04-30
Meilan Meilan Chen 174 Middle Tpke, Manchester, CT 06040 Nail Technician ~
Prince Acheampong 32 Bigelow Street, Manchester, CT 06040 Notary Public Appointment ~
Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
Dejone Mitchell 64 Ruby Dr Apt. P, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Tabia Thornton-bey 103 Walek Farms Road, Manchester, CT 06040 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City Manchester
Zip Code 06040
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + Manchester

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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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