MELISSA M DZIEDZIC (Credential# 679690) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MELISSA M DZIEDZIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001511. The credential type is advanced practice registered nurse. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 10 Pond View Cir, North Haven, CT 06473-4047. The current status is active.
| Licensee Name | MELISSA M DZIEDZIC |
| Credential ID | 679690 |
| Credential Number | 12.001511 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
10 Pond View Cir North Haven CT 06473-4047 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-01-17 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 616345 | 10.E46742 | Registered Nurse | 1984-08-31 | 2020-09-01 - 2021-08-31 | ACTIVE |
| 179583 | CSP.0025350 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 10 POND VIEW CIR |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-4047 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren E Scoppetto | 9 Peters Court, North Haven, CT 06473-4047 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| David Candido | 15 Pond View Cir, North Haven, CT 06473-4047 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa A Derboghossian | 558 Ontario St, Schenectady, NY 12306-4013 | Advanced Practice Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Melissa Mcintyre | 70 Fieldwood Rd, Watertown, CT 06795-3023 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Melissa C Shannon | 112 Woodleaf Dr, Chapel Hill, NC 27516 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Melissa L Watterson · Jackson | 94 Becon St, Hartford, CT 06105 | Advanced Practice Registered Nurse | 2000-05-31 ~ 2001-06-30 |
| Melissa D Straus | 168 Samp Mortar Dr, Fairfield, CT 06824-2462 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Melissa A Fazzolari | 47 Fiesta Heights, Meriden, CT 06451-3625 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Melissa Leigh Squires | 702 Enon Church Rd, Chester, VA 23836-5912 | Advanced Practice Registered Nurse | ~ |
| Melissa J Rockett Aprn | 31 Penny Lane, Woodbridge, CT 06525 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Melissa Geeta Chanderdai Daugaard | 851 Mission De Oro, Redding, CA 96003 | Advanced Practice Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Melissa A Blackburn-kierkla | 218 Cedar Swamp Rd, Monson, MA 01057 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
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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).