STACEY L GOMBAR (Credential# 952018) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2013. The license expiration date date is January 31, 2014. The license status is INACTIVE.
STACEY L GOMBAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.097168. The credential type is registered nurse. The effective date is February 1, 2013. The expiration date is January 31, 2014. The business address is 39 Buckland St Apt 1212-2, Manchester, CT 06042-7736. The current status is inactive.
| Licensee Name | STACEY L GOMBAR |
| Credential ID | 952018 |
| Credential Number | 10.097168 |
| Credential Type | Registered Nurse |
| Business Address |
39 Buckland St Apt 1212-2 Manchester CT 06042-7736 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-11-22 |
| Effective Date | 2013-02-01 |
| Expiration Date | 2014-01-31 |
| Refresh Date | 2014-05-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 952026 | 10.095984-TEMP | Registered Nurse - Temporary | 2010-09-07 | 2010-09-07 - 2011-01-05 | INACTIVE |
| Street Address | 39 BUCKLAND ST APT 1212-2 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-7736 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Candace M Kelm | 39 Buckland St Apt 1212-2, Manchester, CT 06042-7736 | Pharmacy Intern | 2013-09-03 ~ 2016-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc Duisenberg | 39 Buckland St Apt 1212-5, Manchester, CT 06042-7736 | Home Improvement Contractor | 2018-05-11 ~ 2018-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra M Gombar | 26 Greenfield Dr, Shelton, CT 06484 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Ila H Gombar | 334 Conestoga Way, Glastonbury, CT 06033-3361 | Wholesaler Salesman | 2015-02-05 ~ 2017-01-31 |
| Cluny Gombar | 83 Hidden Pines Cir, Meriden, CT 06451-2212 | Professional Counselor | 2020-01-01 ~ 2020-12-31 |
| William J Gombar | 105 Folino Dr, Bridgeport, CT 06600 | Notary Public Appointment | 1986-03-01 ~ 1991-03-31 |
| Dorothy M Gombar | 105 Folino Dr, Bridgeport, CT 06600 | Notary Public Appointment | 1987-01-01 ~ 1991-03-31 |
| Stacey L Dennison | Rt 2 Box 284, Ridgeley, WV 26753 | Registered Nurse | ~ |
| Olivia N Gombar | 138 Franklin Avenue, Stratford, CT 06614 | Advanced Emergency Medical Technician | 2006-10-11 ~ 2008-10-01 |
| Linda J Gombar | 25 Martin Terr, Ansonia, CT 06401 | Notary Public Appointment | 1994-11-02 ~ 1999-11-30 |
| Stacey M Bell | Po Box 114, Stafford, CT 06075-0114 | Registered Nurse | 2014-10-01 ~ 2015-09-30 |
| Stacey L Patrick | Po Box 256, Stratton, ME 04982 | Registered Nurse | 1999-01-22 ~ 2000-01-31 |
Please comment or provide details below to improve the information on STACEY L GOMBAR.
| 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).