JACQUELYN M FORTIN (Credential# 764734) is licensed (Funeral Director) with Connecticut Department of Consumer Protection. The license effective date is June 30, 2006. The license expiration date date is July 31, 2007. The license status is INACTIVE.
JACQUELYN M FORTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #31.B05569. The credential type is funeral director. The effective date is June 30, 2006. The expiration date is July 31, 2007. The business address is 3120 Naia 1104s, Ft Pierce, FL 34949. The current status is inactive.
| Licensee Name | JACQUELYN M FORTIN |
| Credential ID | 764734 |
| Credential Number | 31.B05569 |
| Credential Type | Funeral Director |
| Business Address |
3120 Naia 1104s Ft Pierce FL 34949 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1984-05-02 |
| Effective Date | 2006-06-30 |
| Expiration Date | 2007-07-31 |
| Refresh Date | 2009-07-08 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacquelyn M Fortin | 76 Prospect Street, Rockville, CT 06066 | Notary Public Appointment | 1989-03-01 ~ 1994-03-31 |
| Street Address | 3120 NAIA 1104S |
| City | FT PIERCE |
| State | FL |
| Zip Code | 34949 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirley M Salamone | 3702 Atlantic Beach Blvd., Hutchinson Island, FL 34949 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Ashbel G Gulliver Jr | 1320 Naia, Unit 1303, Ft. Pierce, FL 34949 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Margaret M Decina | 33-106 Harbour Isle Dr. West, Hutchinson Island, FL 34949 | Dental Hygienist | 2011-05-01 ~ 2012-04-30 |
| Barbara Ebstein | 25 Harbour Isle Drive West, Ph 05, Fort Pierce, FL 34949 | Interior Designer | 2009-01-01 ~ 2009-12-31 |
| Lucy D Riordan | 213 Marina Dr, Fort Pierce, FL 34949 | Registered Nurse | 1986-06-02 ~ 1991-06-30 |
| Lori Voelkel | 1605 Seaway Dr, Ft Pierce, FL 34949 | Hairdresser/cosmetician | 1995-08-25 ~ 1996-07-31 |
| Dorothy L Piccininni | 3150 N Aia P3 5, Ft Pierce, FL 34949 | Hairdresser/cosmetician | 1996-04-08 ~ 1997-05-31 |
| Karen A Gilbert | 263 Bimini Drive, Ft Pierce, FL 34949 | Registered Nurse | 2005-01-20 ~ 2006-01-31 |
| Nancy J Seibel | 1351 Bayshore Drive, Fort Pierce, FL 34949 | Licensed Clinical Social Worker | 2008-02-25 ~ 2009-01-31 |
| Donald L Mosher | 5051 No. A1a, Ph1-1, North Hutchinson Isl, FL 34949 | Psychologist | 1997-06-05 ~ 1998-07-31 |
| Find all Licenses in zip 34949 | |||
| City | FT PIERCE |
| Zip Code | 34949 |
| License Type | Funeral Director |
| License Type + County | Funeral Director + FT PIERCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Burke-fortin Funeral Homeinc | 375 Merrow Road, Tolland, CT 06084 | Funeral Home | 2008-05-29 ~ 2009-06-30 |
| Burke Fortin Funeral Home | 76 Prospect Street, Rockville, CT 06066 | Funeral Home | 2019-07-01 ~ 2020-06-30 |
| Burke-fortin Funeral Home Inc. | 76 Prospect St, Rockville, CT 06066 | Funeral Home | 2008-05-29 ~ 2009-06-30 |
| Jay P Bruemmer | Po Box 1612, New Britain, CT 06051 | Funeral Director | 2006-05-04 ~ 2007-06-30 |
| Donald R Potter | Po Box 218, Clarendon, NC 28432 | Funeral Director | 1997-08-26 ~ 1998-08-31 |
| Robert A Colbert | Box 141, New Hartford, CT 06057 | Funeral Director | 1993-06-24 ~ 1994-06-30 |
| Leena M Charron Rn | Po Box 539, Voluntown, CT 06384-0539 | Funeral Director | 2020-01-01 ~ 2020-12-31 |
| Patrick J O'donnell | P O Box 89, Torrington, CT 06790-0089 | Funeral Director | 2020-02-01 ~ 2021-01-31 |
| Marjorie S O'neill | Po Box 591, Watertown, CT 06795 | Funeral Director | 1992-03-24 ~ 1993-03-31 |
| Adner J Montenrgro Lee | 237 N Broadway Apt 6a, Yonkers, NY 10701-2630 | Funeral Director | ~ |
Please comment or provide details below to improve the information on JACQUELYN M FORTIN.
| 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).