WAYNE M FORMAN (Credential# 762702) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
WAYNE M FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.001068. The credential type is optometrist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 133 Fairway Court, Carmel, NY 10512. The current status is active.
| Licensee Name | WAYNE M FORMAN |
| Credential ID | 762702 |
| Credential Number | 3.001068 |
| Credential Type | Optometrist |
| Business Address |
133 Fairway Court Carmel NY 10512 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-01-30 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-03 |
| Street Address | 133 Fairway Court |
| City | CARMEL |
| State | NY |
| Zip Code | 10512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nubia Mabel Curipoma Sarango | 1335 Route 6, Carmel, NY 10512 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille Osterling | Po Box 641, Carmel, NY 10512 | Barber | 2020-07-01 ~ 2022-06-30 |
| Heather L Schultz | 6 Collier Dr, Carmel, NY 10512 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Jana Wedrova | 306 Seminary Hill Rd, Carmel, NY 10512 | Esthetician | 2020-06-17 ~ 2022-01-31 |
| Mary Eileen Dolenk | 2903 Morgan Dr, Carmel, NY 10512 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Cynthia L Teeple | 14 Laurel Mountain Ct, Carmel, NY 10512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tara Joan | 452 Horsepound Road, Carmel, NY 10512 | Advanced Practice Registered Nurse | ~ |
| Marc Anthony Roman | 2 Valhalla Road, Carmel, NY 10512 | Emergency Medical Technician | ~ |
| Valerie J Port | 1311 Route #6, Carmel, NY 10512 | Real Estate Salesperson | 2019-09-11 ~ 2020-05-31 |
| Kim Brady Locascio | 50 Lacrosse Rd, Carmel, NY 10512 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Find all Licenses in zip 10512 | |||
| City | CARMEL |
| Zip Code | 10512 |
| License Type | Optometrist |
| License Type + County | Optometrist + CARMEL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Ce Forman T V & Applian · Forman T V & Appliance | E Liberty St, Chester, CT 06412 | Tv & Radio Service Dealer | ~ |
| The Forman School Inc · Peirce Dining Hall | 12 Norfolk Rd, Litchfield, CT 06759-2537 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
| Forman Industries Inc · F I Companies | 3150 Bordentown Ave, Old Bridge, NJ 08857-9703 | Major Contractor | 2017-05-09 ~ 2017-06-30 |
| Wayne M Castagna | 41 Susan Dr, Tolland, CT 06084 | Optometrist | 2020-06-01 ~ 2021-05-31 |
| Wayne T Miller | 35 Whitney Dr, Woodstock, NY 12498 | Optometrist | 2000-06-01 ~ 2001-06-30 |
| Wayne D Jenkins Od | 61 Westfarms Mall, Farmington, CT 06032 | Optometrist | 2019-10-01 ~ 2020-09-30 |
| Wayne D Haeger | 596 Devotion Road, Baltic, CT 06330 | Optometrist | 2007-12-27 ~ 2008-12-31 |
| Sandi Richards Forman | 31 Milwaukee Avenue, Bethel, CT 06801 | Certified Public Accountant Firm Permit | 1990-02-22 ~ 1990-12-31 |
| Forman School | Norfolk Road, Litchfield, CT 06759 | Public Charity-exempt From Financial Requirements | ~ |
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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).