TAYLOR L FONTANEZ (Credential# 952685) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2019. The license expiration date date is April 30, 2020. The license status is ACTIVE.
TAYLOR L FONTANEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.035637. The credential type is licensed practical nurse. The effective date is May 1, 2019. The expiration date is April 30, 2020. The business address is 55 Wells Rd., Broad Brook, CT 06016. The current status is active.
| Licensee Name | TAYLOR L FONTANEZ |
| Credential ID | 952685 |
| Credential Number | 11.035637 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
55 Wells Rd. Broad Brook CT 06016 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-28 |
| Effective Date | 2019-05-01 |
| Expiration Date | 2020-04-30 |
| Refresh Date | 2019-07-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 952684 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 55 Wells Rd. |
| City | Broad Brook |
| State | CT |
| Zip Code | 06016 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew T Moore | 67 Middle Road, Broad Brook, CT 06016 | Emergency Medical Technician | 2018-08-02 ~ 2020-03-31 |
| Dallas W Hosmer | N24 Mill Pond Drive, Broad Brook, CT 06016 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2020-08-31 |
| Cathryn E Carroll | 127 East Road, Broad Brook, CT 06016 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jonathan E Marino · J M Affordable Landscaping | 319 Canyon Ridge Drive, Broad Brook, CT 06016 | Home Improvement Contractor | 2018-09-04 ~ 2019-11-30 |
| Heather Allison Kun | 2 Jessie Ln, Broad Brook, CT 06016 | Registered Nurse | ~ |
| Anna J Mangiafico · Kement | 35 Sullivan Farm Road, Broad Brook, CT 06016 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melissa V La Belle | 17 C Folkstone Road, Broad Brook, CT 06016 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Andrea Kopec | 406 Canyon Ridge Drive, Broad Brook, CT 06016 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen C Quesnel | 16 Maple Avenue (po Box 349), Broad Brook, CT 06016 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Sophie Carter | 41 Skinner Road, Broad Brook, CT 06016 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06016 | |||
| City | Broad Brook |
| Zip Code | 06016 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + Broad Brook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justo Fontanez Jr · Fontanez Market | 255 Grand Avenue, New Haven, CT 06513 | Grocery Beer | 2002-03-11 ~ 2003-03-10 |
| Christina S Taylor Williams | CT | Licensed Practical Nurse | ~ |
| Christina S Taylor | 34 Adams St Fl 1, Hartford, CT 06112-2101 | Licensed Practical Nurse | ~ |
| Jo Ann V Taylor | 4 Leemond St, Wilbraham, MA 01095 | Licensed Practical Nurse | 1999-03-24 ~ 2000-05-31 |
| Debra A Taylor | Po Box 256, Cromwell, CT 06416-9992 | Licensed Practical Nurse | 2020-05-15 ~ 2021-05-31 |
| Sylvia Villasenor | 22 Taylor Ct Apt 3s, Willimantic, CT 06226-3153 | Licensed Practical Nurse | ~ |
| Scott R Taylor | P.o. Box 214, Derby, VT 05829 | Licensed Practical Nurse | 2007-04-30 ~ 2008-05-31 |
| Herman E Taylor | 19 Court A, Bridgeport, CT 06610 | Licensed Practical Nurse | 2006-12-21 ~ 2008-02-29 |
| Venita L Taylor | 370 Edgewood Ave, New Haven, CT 06511 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Patricia Grant | 541 Taylor St, Vernon, CT 06066-5315 | Licensed Practical Nurse | 2012-12-01 ~ 2013-11-30 |
Please comment or provide details below to improve the information on TAYLOR L FONTANEZ.
| 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).