MARY P ARCHAMBAULT (Credential# 765709) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is November 10, 2004. The license expiration date date is December 31, 2006. The license status is INACTIVE.
MARY P ARCHAMBAULT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001473. The credential type is nursing home administrator. The effective date is November 10, 2004. The expiration date is December 31, 2006. The business address is 2024 Sw Sandhurst Way, Palm City, FL 34990. The current status is inactive.
| Licensee Name | MARY P ARCHAMBAULT |
| Doing Business As | WILLIAMS |
| Credential ID | 765709 |
| Credential Number | 36.001473 |
| Credential Type | Nursing Home Administrator |
| Business Address |
2024 Sw Sandhurst Way Palm City FL 34990 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-11-17 |
| Effective Date | 2004-11-10 |
| Expiration Date | 2006-12-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 660817 | 11.012423 | Licensed Practical Nurse | 1972-05-01 | 2002-12-09 - 2003-12-31 | INACTIVE |
| Street Address | 2024 SW Sandhurst Way |
| City | Palm City |
| State | FL |
| Zip Code | 34990 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra Ann Killian | 5090 Sw Blue Daze Way, Palm City, FL 34990 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan M Slater | 18 Sw Riverway Blvd, Palm City, FL 34990 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Cynthia H Geletka | 2178 Sw Balata Terr, Palm City, FL 34990 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Barbara A Hesemeyer | 2512 Sw Danbury Lane, Palm City, FL 34990 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Carol A Wentzel | 1634 Sw Seagull Way, Palm City, FL 34990 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Christine K. Bearse | 2467 Sw Brookwood Lane, Palm City, FL 34990 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Mary J Mcconnell | 1772 Sw Willowbend Lane, Palm City, FL 34990 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Lori Ann K. Lehn | 2236 Sw Waterview Place, Palm City, FL 34990 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Veronica Jones · Gordon | 10424 South West Fiddlers Way, Palm City, FL 34990 | Licensed Practical Nurse | 2018-06-01 ~ 2019-05-31 |
| Laura K Mitchell · Kiely | 4801 S.w. Parkgate Blvd, Palm City, FL 34990 | Registered Nurse | 2018-04-01 ~ 2019-03-31 |
| Find all Licenses in zip 34990 | |||
| City | Palm City |
| Zip Code | 34990 |
| License Type | Nursing Home Administrator |
| License Type + County | Nursing Home Administrator + Palm City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tania M Archambault | 47 Victoria Rd, Coventry, CT 06238-1030 | Nursing Home Administrator | 2018-07-01 ~ 2020-06-30 |
| Nicole R Archambault-benson | 1 Applewood Ln, Avon, CT 06001-4502 | Nursing Home Administrator | 2012-07-01 ~ 2014-06-30 |
| Mary S Webster | 202 Conestaga Way, Glastonbury, CT 06033 | Nursing Home Administrator | 1993-07-23 ~ 1994-07-31 |
| Mary J Noonan | 16 Devol St, Milford, CT 06460 | Nursing Home Administrator | 2018-10-01 ~ 2020-09-30 |
| Mary G Butler | Po Box 1829, Mashpee, MA 02649-1829 | Nursing Home Administrator | 2019-11-01 ~ 2021-10-31 |
| Mary C Smith | 103 Tuttle Rd, Bristol, CT 06010 | Nursing Home Administrator | 2020-04-01 ~ 2022-03-31 |
| Mary F Uschmann | 181 Sumner Ave, Springfield, MA 01108-2307 | Nursing Home Administrator | 2018-10-01 ~ 2020-09-30 |
| Mary Jo Gyuricsko | 12530 N Lantern Way, Oro Valley, AZ 85755 | Nursing Home Administrator | 2020-04-01 ~ 2022-03-31 |
| Mary D Carpinella | 109 West Lake Ave, Guilford, CT 06437 | Nursing Home Administrator | 2004-08-11 ~ 2006-09-30 |
| Sr Mary V Mannion | 1028 Benton Ave, Pittsburgh, PA 15212-1607 | Nursing Home Administrator | 2019-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on MARY P ARCHAMBAULT.
| 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).