DAVID W FERNSTROM (Credential# 872109) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2022. The license status is ACTIVE.
DAVID W FERNSTROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.980196. The credential type is emergency medical technician. The effective date is April 1, 2019. The expiration date is March 31, 2022. The business address is 122 Brooklyn Rd, Pomfret Center, CT 06259-2404. The current status is active.
| Licensee Name | DAVID W FERNSTROM |
| Credential ID | 872109 |
| Credential Number | 70.980196 |
| Credential Type | Emergency Medical Technician |
| Business Address |
122 Brooklyn Rd Pomfret Center CT 06259-2404 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-12-01 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2022-03-31 |
| Refresh Date | 2019-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 921107 | 72.002572 | Paramedic | 2010-03-25 | 2011-03-25 - 2012-01-31 | INACTIVE |
| Street Address | 122 BROOKLYN RD |
| City | POMFRET CENTER |
| State | CT |
| Zip Code | 06259-2404 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elise M Fernstrom | 122 Brooklyn Rd, Pomfret Center, CT 06259-2404 | Emergency Medical Technician | 2019-04-01 ~ 2022-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary P Smutnick | 138 Brooklyn Rd, Pomfret Center, CT 06259-2404 | Registered Nurse | 2015-09-01 ~ 2016-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth A. Poland | 123 Ragged Hill Road, Pomfret Center, CT 06259 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Saara A Slevinsky · Kahonen | 244 Paine Road, Pomfret Center, CT 06259 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Sandra Fredrickson | 135 Cooney Road, Pomfret Center, CT 06259 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Lillian R Erskine | 443 Hampton Road, Abington, CT 06259 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gary J Pazienza | 120 Cooney Road, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer L Jasmin | 524 Mashamoquet Rd, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Irina P Ionkina | 185 Babbitt Hill Road, Pomfret Center, CT 06259 | Master's Level Social Worker | 2019-01-01 ~ 2019-12-31 |
| Donna J Navarro | 88 Freedley Rd, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer W Mahr | 89 Covell Road, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Philip Raiford | 172 Peterson Rd, Pomfret Center, CT 06259 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06259 | |||
| City | POMFRET CENTER |
| Zip Code | 06259 |
| License Type | Emergency Medical Technician |
| License Type + County | Emergency Medical Technician + POMFRET CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elise M Fernstrom | 122 Brooklyn Rd, Pomfret Center, CT 06259-2404 | Emergency Medical Technician | 2019-04-01 ~ 2022-03-31 |
| James H Fernstrom | 807 Wrights Crossing Rd, Pomfret Center, CT 06259-1625 | Emergency Medical Technician | 2013-08-28 ~ 2016-07-01 |
| David L Hancock | 109 David Humphrey Rd, Derby, CT 06418 | Emergency Medical Technician | 2002-11-20 ~ 2006-01-01 |
| David I Bakies | 28 Fox Dr, Seymour, CT 06483-2004 | Emergency Medical Technician | ~ |
| 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 W Petersen | Po Box 687, New Hartford, CT 06057-0687 | Emergency Medical Technician | 2018-10-01 ~ 2021-09-30 |
| David E Boutin | Po Box 462, Tolland, CT 06084-0462 | Emergency Medical Technician | 2015-07-30 ~ 2018-04-01 |
| David C Roy | 11 Racker Rd, Hartford, CT 06154-0001 | Emergency Medical Technician | 2005-03-18 ~ 2007-04-01 |
| David M Weiler | 29 Stantack Rd, Middletown, CT 06457-2320 | Emergency Medical Technician | ~ |
Please comment or provide details below to improve the information on DAVID W FERNSTROM.
| 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).