DAVID E SUPERNAW (Credential# 842816) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2022. The license status is ACTIVE.
DAVID E SUPERNAW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.003083. The credential type is emergency medical technician. The effective date is April 1, 2020. The expiration date is March 31, 2022. The business address is 15 Rowland Farm Rd, Oxford, CT 06478. The current status is active.
| Licensee Name | DAVID E SUPERNAW |
| Credential ID | 842816 |
| Credential Number | 70.003083 |
| Credential Type | Emergency Medical Technician |
| Business Address |
15 Rowland Farm Rd Oxford CT 06478 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-10-18 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2022-03-31 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2017097 | 70 | Emergency Medical Technician | - | PENDING |
| Street Address | 15 Rowland Farm Rd |
| City | Oxford |
| State | CT |
| Zip Code | 06478 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rita M Supernaw | 15 Rowland Farm Rd, Oxford, CT 06478-1265 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin M Michalak | 5 Macintosh Drive, Oxford, CT 06478 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin M Ambrosio | 3 Lolly Lane, Oxford, CT 06478 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoon Jeon | 312 Oxford Rd, Oxford, CT 06478 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Jacqueline R Sanz Pa | 221 Goodhill Rd, Oxford, CT 06478 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Sharon A Ritton-holly · Mcgowan | 5 Evergreen Lane, Oxford, CT 06478 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Anna B Valko | 6 Jem Woods Road, Oxford, CT 06478 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Southbury Baking Company LLC | 83 Prokop Road, Oxford, CT 06478 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Leanne C Hovhannissian | 25 Belinsky Circle, Oxford, CT 06478 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Andy Petitti | 5 Benson Road, Oxford, CT 06478 | Cross Connection Survey Inspector | 2020-04-01 ~ 2023-03-31 |
| Lynn Ann Wilkison | 6 Silano Drive, Oxford, CT 06478 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06478 | |||
| City | Oxford |
| Zip Code | 06478 |
| License Type | Emergency Medical Technician |
| License Type + County | Emergency Medical Technician + Oxford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David L Hancock | 109 David Humphrey Rd, Derby, CT 06418 | Emergency Medical Technician | 2002-11-20 ~ 2006-01-01 |
| R. David Lee | Po Box 26, Brooklyn, CT 06234-0026 | Emergency Medical Technician | 2019-01-01 ~ 2021-12-31 |
| R. David Lee | P.o. Box 742, Brooklyn, CT 06234 | Emergency Medical Technician | ~ 1993-10-01 |
| David I Bakies | 28 Fox Dr, Seymour, CT 06483-2004 | Emergency Medical Technician | ~ |
| David S Schmaling | 22 Fox Run, Monroe, CT 06468-2835 | Emergency Medical Technician | 2009-09-24 ~ 2011-07-01 |
| David M Panaroni | 218 S New Rd, Hamden, CT 06518-2628 | Emergency Medical Technician | 2020-04-01 ~ 2023-03-31 |
| Dmytro Goul | 105 David Dr, Middletown, CT 06457-5194 | Emergency Medical Technician | ~ |
| David J Acammpora | 623 Rte 148, Killingworth, CT 06419 | Emergency Medical Technician | ~ 1997-07-01 |
| David R Elliott | Po Box 193, Woodstock, CT 06281-0193 | Emergency Medical Technician | 2019-10-01 ~ 2022-09-30 |
| David A Xele | P.o. Box 217, Ballouville, CT 06233-0217 | Emergency Medical Technician | ~ 1998-07-01 |
Please comment or provide details below to improve the information on DAVID E SUPERNAW.
| 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).