LESLE M SPAIN (Credential# 682113) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LESLE M SPAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003935. The credential type is advanced practice registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 9 Chestnut St, Bethel, CT 06801-1402. The current status is active.
| Licensee Name | LESLE M SPAIN |
| Credential ID | 682113 |
| Credential Number | 12.003935 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
9 Chestnut St Bethel CT 06801-1402 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-10-15 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 638540 | 10.R31784 | Registered Nurse | 1979-03-09 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 518388 | CSP.0044811 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-11-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 9 CHESTNUT ST |
| City | BETHEL |
| State | CT |
| Zip Code | 06801-1402 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Anthony Dulko | 6 Winthrop Road, Bethel, CT 06801 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Antonietta Sproviero-metaxas | 36 Quaker Ridge Road, Bethel, CT 06801 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark K Roos | 6 Crestview Road, Bethel, CT 06801 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Susan Nguyen | 14b Cawley Ave., Bethel, CT 06801 | Esthetician | ~ |
| Blue Jay Orchards | 125 Plumtrees Rd, Bethel, CT 06801 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Varano Bakery | 198 Greenwood Ave, Bethel, CT 06801 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nina M Kilcourse | 3 Bayberry Hill Rd, Bethel, CT 06801 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ralph Ramsdell · Big Y | 83 Stony Hill Road, Bethel, CT 06801 | Grocery Beer | 2020-04-18 ~ 2021-04-17 |
| Marilu F Jeton | 36 Weed Rd, Bethel, CT 06801 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Petagay V Hewitt | 44 Greenwood Avenue, Bethel, CT 06801 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06801 | |||
| City | BETHEL |
| Zip Code | 06801 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + BETHEL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kristin Lee | 516 Kilburn Ct, Franklin, TN 37067-1371 | Advanced Practice Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Natanya Ma | 79 Daniels Rd, Rowley, MA 01969-2214 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Ebony T Johnson | 835 Mix Ave Apt 315, Hamden, CT 06514 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Maria Magliacano | 117 Elm Pl, New Canaan, CT 06840-6310 | Advanced Practice Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Ann M Pechulis | 269 Captain Rd, Longmeadow, MA 01106-2549 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Gordon P Kempe | Po Box 277, Sanbornton, NH 03269 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-06-30 |
| Terry L Conrad | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kathleen Dibiase | 26 Independence Way, Titusville, NJ 08560 | Advanced Practice Registered Nurse | ~ |
| Karren L Slade | 265 New Rd, Avon, CT 06001-3163 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on LESLE M SPAIN.
| 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).