HEATHER P MOKOTOFF (Credential# 681439) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
HEATHER P MOKOTOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003261. The credential type is advanced practice registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 50 Old Dairy Road, Trumbull, CT 06611. The current status is active.
Licensee Name | HEATHER P MOKOTOFF |
Credential ID | 681439 |
Credential Number | 12.003261 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
50 Old Dairy Road Trumbull CT 06611 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-07-18 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-06-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
575207 | 10.071201 | Registered Nurse | 2003-06-05 | 2020-05-01 - 2021-04-30 | ACTIVE |
415468 | CSP.0038291 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-09-07 | 2011-03-01 - 2013-02-28 | INACTIVE |
864038 | 70.921937 | Emergency Medical Technician | 1992-09-01 | - 1994-09-30 | INACTIVE |
Street Address | 50 OLD DAIRY ROAD |
City | TRUMBULL |
State | CT |
Zip Code | 06611 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Find all Licenses in zip 06611 |
City | TRUMBULL |
Zip Code | 06611 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + TRUMBULL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heather M Zell | 1321 Springvale Dr, Bel Air, MD 21015-5849 | Advanced Practice Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Heather A Roseman | 5 Morningstar Dr, Hadley, MA 01035 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Heather E Hancort | 575 Huckins Rd, Cheshire, CT 06410-1316 | Advanced Practice Registered Nurse | 2020-02-20 ~ 2020-12-31 |
Heather Buchanan | 24 Bluebird Lane, Beckley, WV 25801 | Advanced Practice Registered Nurse | 2015-12-01 ~ 2016-11-30 |
Heather S Czajkowski | 123 Gannet Drive, Southington, CT 06489 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Heather J Hastings Aprn | 79 Fox Hollow, Avon, CT 06001-3693 | Advanced Practice Registered Nurse | 2014-07-01 ~ 2015-06-30 |
Heather M Platt Aprn | 91 Plainfield Dr, Waterbury, CT 06708-1538 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Heather A Portereiko | 90 Summit Crest Dr, S Glastonbury, CT 06073-2942 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Heather L Spear | 10 Buttonwood Hill Rd, Canton, CT 06019-3526 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Heather M Eremita | 52 Natsisky Farm Rd, South Windsor, CT 06074-1833 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
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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).