JILL R SISKIND APRN (Credential# 680096) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.
JILL R SISKIND APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001917. The credential type is advanced practice registered nurse. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 109 Sandy Beach Rd, Holland, MA 01521. The current status is inactive.
| Licensee Name | JILL R SISKIND APRN |
| Credential ID | 680096 |
| Credential Number | 12.001917 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
109 Sandy Beach Rd Holland MA 01521 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-09-11 |
| Effective Date | 2016-09-01 |
| Expiration Date | 2017-08-31 |
| Refresh Date | 2017-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 609042 | 10.E37913 | Registered Nurse | 1976-04-08 | 2016-09-01 - 2017-08-31 | INACTIVE |
| 197795 | CSP.0027534 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 109 SANDY BEACH RD |
| City | HOLLAND |
| State | MA |
| Zip Code | 01521 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Lamontagne · Lamontagne Building & General Contracting | 109 Sandy Beach Rd, Holland, MA 01521 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Lynn Knight | 1 Leno Road, Holland, MA 01521 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Timmothy W Horn-eldred | 161 Stafford Rd, Holland, MA 01521 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Gary E Naples | 45 Lake Dr., Holland, MA 01521 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Chelsea Marie Bellefleur | 246 Stafford Road, Holland, MA 01521 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Laurie A Dillon · Nunes | 87 Sandy Beach Road, Holland, MA 01521 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Beverly A. Moreau | 103 Sandy Beach Road, Holland, MA 01521 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Sarah Naples | 45 Lake Drive, Holland, MA 01521 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Peter M Faria | 107 Sandy Beach Road, Holland, MA 01521 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Lauren Elmy | 13 Vinton Lane, Holland, MA 01521 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Guy E Langevin | 53 Maybrook Rd., Holland, MA 01521 | Sub-surface Sewage Installer | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 01521 | |||
| City | HOLLAND |
| Zip Code | 01521 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + HOLLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jill V Tesei Aprn | 399 E Putnam Ave Ste 1, Cos Cob, CT 06807-2558 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Jill E Fischer | 29 Quinley Way, Waterford, CT 06385 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Sharon B Gallipeau Aprn | Po Box 914, Newport, RI 02840 | Advanced Practice Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Jay M Seigel Aprn | 24 Channing St, New London, CT 06320 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Holly Durstin Aprn | Po Box 208, Norfolk, CT 06058 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Artee A Srivastava Aprn | 760 Mix Ave, Hamden, CT 06514 | Advanced Practice Registered Nurse | 1999-05-12 ~ 2000-06-30 |
| Kyuwon Yu Aprn | 24 Hospital Ave, Danbury, CT 06810-6077 | Advanced Practice Registered Nurse | 2007-05-07 ~ 2008-06-30 |
| Patricia L O'neil Aprn | Po Box 272, Amenia, NY 12501 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on JILL R SISKIND APRN.
| 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).