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Aoolv for a License Licensing Home Page
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Contact Us „
°�t Name
Mary P Colwell
Licenses
Profession Nursing License Number RN149451 License Status Current
Issue Date 5/���ggp Expiration Date 7/10/2016
----------Forwarded message----------
From:Mary Colwell<cresc�r�,m�c�rrt��r�ai�n r�maii com>
Date:Thursday,May 8,2014
Subject:Camp W"`K-Nursing License
To:Daria Burrell<hu���ria�ca�rp:�k,com>
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GOMMONWEALTH OF MASSa+CHUSETF`S : �
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BOARD OF REGISTRATI(>N!N
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Registered Nurse
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Elizabeth J Green � ;
5 Lake Roed�"�rrace
" Wayla�id MA�4'778
ftN2Z$4758 06113/2016 607083
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IMPORTANT
If you find this license,piease return to:Division of Health
Professions Licensure,239 Causeway St.,Suite 50p,5ih FI.,
Boston,MA 02114.
If your name or address changes,you must notify your Board
to ensure the proper mailing of your next Renewal Notice.
Always refer to your license number when corresponding with
your Board.This lice�se is subject to the provisians of the
General Laws as amended.It is a privilege and cannot be
loaned or assigned to any other entity.Keep this license on
your person,posted,or as required by law.
Please visit our web site at: http://mass.gov/dph/boards
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License Type License Expiration Granted License License Licensure Actions or Pending
Number Date Date Name Status Charges
Ernergency Medical 17721 04/01/2017 06/17l2014 SHANNON� ACTNE None
Technician RIX
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� � This recognizes that
L� 7enny Murran `
� has completed the requirements for , = .' ;
�'0 Small Craft Safety-Sailing redcross.or
a� conducted bY • _ 9
Cape Cod Sea Camps Instructor s$�
Date completed: 06/16/.2013 ` -_ 9�oture -
The American Red Cross recognizes .
this certiflcate is�valid from '
• completion date for. 3 Years , Chapter
American Red Cross
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gecky Pictnek
has successfuliy rompfetzd the knowledg?and s'tin mialuations for the
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�62�►QpA Bate: Bk��FjNE�Renewai oate:
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ihis card does not guara�tee fu[ure performance or suggest any form o(licensure.
Skills deteriorate rapidly when not used.Periodic ratraining is strongly recommended.
7his ECSI course meets ttie most current intemational consensus guidelines on
cardiopulmonary resuscitation(CPRt and emergency cardiac care(ECCI
ECSI phone numbec(800)71-ORANGE
ww:v.ECSlnstitute.org
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Samantha Rabideau
Samantha Rabideau
has succassfully completed[he knosvl�dge and skill evalua!ions for the
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����9�1e' �'���d Henewal Uate:
f�t+6a[�anal cemer. E,tl�gg29745 �
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1 1L V It��J °Emer�ency Physicians
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This card does not guarantee future performance or s�ggest any torm of licensure.
Skifis deteriorate rapidly when not used Periodic retraining is strongty recommended.
This ECSI course meets the mosf current intemational consensus guidelines on
cardiopulmonary resuscitafion(CPR�and emergency cardiac care(ECCI
ECSI phone numbec(800j 71-ORANGE
www.E C S I n s ti t u t e.o rg
This recognizes that
� tA Samantha Rabideau
(0 0 has completed the requirements for
i� Lifeguarding/First Aid
� conduded by
� Camp Wingate Kirkland E
Q� Date completed: OS/14/2012 �
The American Red Cross recognizes E
this certificate is valid from E
completion date for: 3 Years '
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EMERGENCY CnaE �
b SFF_TY $i TJTE
Sandra Rubenstein
_n,��er�s(yf�¢�p��,[�Q�!IyaKq�yA�r1t��skill evaluations(or the
P1� MI��G'ef f�t+j1ns4f16�'C(i6r�A
4/23/2013 4/23/2015
Complelion Date: Recammended Renewal Dale:
H-S-T 5083629745 Lynda Bergstrom
Educational Center. Phane: Instruclur.
���^ ..�;3 tlmerican College oE
� °73 Emergency Physicians
,�,�..._.,..,,.L...�..��.,, Ap-14NCFiG'MERGbYCI CaRE-�},
This card does no[guarantee fu[ura performance or suggest any torm o(Ilcensure.
Skills deteriora[e rapidry when not used.Periodic re[raining is strongly recommended.
This ECSI course meets the most current international consansus guidelines on
cardiopulm�nary resuscita[ion(CPR)and emergency cardiac care(ECCI.
EC51 phone numbec(500�71-ORANGE www.ECSlnstitute.org
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Will Rubenstein
g�$,;y��n�cj(���p�e��d���ule�eandskill evaluations lor the . ���
'EtTr2tpe LqC 51Etp r� �itu
4/23/201�3 �l23/201�5
Campletian ate: ecommen ed Renewal Date:
H-S-T 5083629745 Lynda Bergstrom
Educatianal Center. Phone: instruclor.
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����-t B�?�??!1lmzrican College�E
�. ��_���=Emergency Ph��sicians'
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7his card does not guarantee future performance or sugqest any torm of licensure.
Skills deteriorate rapidiy when not used.Periodic retraining is strongly recommended.
This ECSI course meets[he most current in[erna[ional consensus guidelfnes on
cardiopulmonary resuscitation(CPR}and emergency cardiac care(ECCI.
ECSI phone number(800�71-ORANGE wtivev ECSlnsti�ute.org
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, EMERGENCY CAflE . . �. -..<,-_.,,.. ,. . -,:..,.:-.-_ . .
� 3 54FETY INSi1T1/r[ �
Juliet Ruhe
has successfully completed the knowiedge and skill evaluations for the
Emergency Care&Safety Instifute Course
Adult.Child&Infant CPR
Comp�et(on Date: Recommended Renewal Oate:
6/26/2012 6/26/2014
Educatinnai Center.
H-S-T Phone: Instmct r �
5083624507 Lynda�ergsVom
,� A �^.('� �"??3;Americxn College of
�11 1 ,�\ "'_�Emer,ency Physicians'
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This card doas not guarantee future performance or suggest any torm of licensure.
Skilts deteriorate rapidly when not used.Periodic retraining is strongly recnmmended.
This ECSI course meets the most current intematinnal consensus guidelines on
cardiopulmonary resuscitation(CPR}and emergency cardiac care(ECCI.
ECSI phone numbec(B00)71-ORANGE ww�.v.ECSlnstilutt.org
� �
U! This recognizes that
C� � Juliet Ruhe
' �� has compieted the requirements for
�.0 Lifeguarding/First Aid
d conducted by
�� Camp Wiogate Kirkland
Date compieted: OS/15/2011
The American Red Cross recognizes
this certificate is valid from
completion date for: 3 Years
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E`C�,I�
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cMERGENryC4RE
85AFETY NSTITUtE
Michael Samoff
has successfully completed the knowledge and skill evaluations for the
Emergency Care&Salely Institute Course
Adult, Child& Infant CPR '
Campletion Oate: Recommended Renewal Date:
6/23/2013 6/23/2015
.Educational Cenler. Instr ct
ti 5 I ����629745 Lync�a�3ergstrom
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A � ��(l 'e3i::93e Amzriczm C�Uege of
L 1 L� \ e°7'�iS Emergency Physicians'
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This card does not guarantee future R�rtormance or suggest any form of licensure.
Skills deteriorate rapidly when nol used,Periodic re[raining is s[rongly recommended.
This ECSI course meets the mosT current in[emational consensus guidPlines on
cardiopulmonary resuscitation(CPRj and emergency cardiac care(ECCI.
ECSI phone number(800}71-ORANGE ww+v.ECSlnstiwtz.org
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c�i o
�` L This recog��2es that `
��� Michaei Sarnoff !
�� has comp�eted the req�irerrients for
Q� Lifeguardiny�p�rst q�d f
conducted by
Camp yy��gate Kirkland
Date compieted: O8/15/20i1
The qmerican Red Cross reco
this certificate is 9n1Ze5 s
com I �a��d from '
P etion date for: 3 Years
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Joelle Sherman
Joelle Sherrr�an
' has successfully completed[he knoEvlr_dge and skiil evaluatiens fo�the
Emergency Ca�e d Sa(ely Instltute Course
Adult, Child&Infent CpR
��e�y{q DAte: R�gQm�q�ndp�Renewai Date:
icv13
!13! Q7
�L�U9nal Cenfer.
P�Y9�3629745 �"�fY��`�8ergstrom
q A �/1,(1 .:���American College of
1;[1 ,,� :Emergency Physicians"
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This card does not guarantee future performance or suggest any torm nf licensure.
Skills deteriorate rapidly vihen no[used.Periodic retraining is strongiy recommended.
This ECSI course meets the most current in[emational consensus guidelines on
cardiopulmonary resuscitation(CPR)and emergency cardiac care(ECC).
ECSI phane number(800)71-ORANGE www.ECSlnsti[�te.org
r. N
� � This recognizes that
V i. 7oelle Sherman
�V has completed the requirements for
�"� Lifeguarding/FirstAid
a� conducted by
Camp Wingate Kirkland
Date completed: OS/14/Z012
The American Red Cross recognizes
this certificate is valid from
, completion date for: 3 Years
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is recognized as a certified archery instructor by '
USAArchery and the National Field Archery Association.
Date of Issue �I�/N����, •�L/;�
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The archery instructor named on t letede
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= N Tyler SmYth
V 0 has comp�eted the requirements for
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a� Date completed: 08/14/2012
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Elizabeth TSpee� � ,
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6/23/2013
Complefjan Oafe:
H S-r R 6°mm1��d Renewal 0ate:
Educa(�ona�Cenfer:
Pa�8362g745 Lynd
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7his card does not guarantae t�Wre pertormance or suggest any torm ot licensure.
Skilts deleriora[e rapidiy vrhen pot used.Periodic retraining is strongty recommended.
card opulmonary esuscilation9(CPR)raod emerge'ncy card ac ca e(EGC{nes on
ECSlphonenumbec(8�0171-ORANGE
wtvw.EC51 ns[itute.org
_ � This recognizes that
� N! Elizabeth Speed '
V 0 has completed the requirements for �
�� Lifeguarding/First Aid
�� conducted by
� Camp Wingate Kirkland !:
a� Date completed: 08/15/2011 �
, The American Red Cross recognizes `
this certificate is valid from i
completion date for: 3 Years F
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Emergency Care&Salety InstiNte Caurse
4/23l2013 4123/20'i
Comp�etion Oale: Reeommended Renewal Oate:
5083629745 Lynda Bergstrom
H-S-T Instructor.
Educalional Cenler: Phone:
A /� ��("� s,i:.e'Amerirm College of
iuH U 0°��'ee Emer,ency Physicians'
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This card does not guarantee fulure performance or suggest any form of licensure.
Skills deteriora[e rapidty when not used.Periodic retraining is strongly recommended.
This ECSI coorse meets the most current intemational consensus guidelines on -
cardiopulmonary resuscitation(CPR�and emergency cardiac care(ECCI.
ECSI phone numbec(800�71-ORANGE www.ECSlnstitute.org
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Certificate of Completion Certificate of Completion
Brent Freed � Naomi Kliger �
has completed requirements for ��,,, has compreted requirements for p�¢�#ean
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conducted by Q � conducted by Qi � "0
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Date completed:06/26/2013 Date completed:06/26/2013
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Certificate ID:GPK8W0 Scan code or visit: Certificate ID:GPK8W1 Scan code or visit:
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Certificate of Completion
Ellie Olsen �
has completed requirements for �.,,
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Date completed:06/26/2013
Validity Period:2 Years Q
Certificate ID:GPK8W2
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Certificate of Completion Certificate of Completion �
Jillian Alperin �� � William Benthem de Grave �
has completed the requirements for �'"� has completed the requirements for � �
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Nathaniel Bolter =� Logan Chaet `��
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Date completed:08/08/2013 ' , Date completed:08/08/2013 +
Validity period: 2 Years � �� Validity period: 2 Years �
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Sam Ditkoff `��Y� Oliver Goldberg-Lewis uP��
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Validity period: 2 Years � �� Validity period: 2 Years 0�. ��
Certificate ID: GP5Y01 Scan code or visit: Certificate ID: GP5Y02 Scan code or visit:
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Certificate of Completion Certificate of Completion
D lan Grocer � ' Jack Koros � -k
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American Ame�ican
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Certificate of Completion Certificate of Completion
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Rachel Liacos -,� Ronnie Ludwin �
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Certificate of Completion � Certificate of Completion
Nicholas Markus - ,t, Jeremy Mintzer �
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Certificate of Completion Certificate of Completion �
Timoth Muller ��L � :��3�
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Certificate ID: GP5Y09 Scan code or visit: Certificate ID: GP5YOA Scan c�de or visit:
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Certificate of Completion { Certificate of Completion
Sam Pri ��� . ,
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Certificate of Completion Certificate of Completion
Benjamin Sandler �'` Aaron Sn der � y
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Certificate of Completion � , Certificate of Completion
Jeffrey Sullivan � Joel Tannenbaum �
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- R�# �rt�►��
S�muel Kauffman
has �ucc�ssfulfy ct�mple#ed rec�rir�ments ft�r
� Fundamentais of !ns#r�t�ctor Training; valid 1 Year
Water �afety Instructar: va�id 2 Years
u�te co�,plert�s: {�5118P�to14
cr�n�uct�rc! by. r�rican Rad Cross �, .�
In�truciors: Darleen J
Kt?@�8G�1 �
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re 3c:t c��.�r:��c c�r�t�rrn
f
American
�� Red Cross
Certificate of Completion
Jessica Baker
has successfully completed requirements for
Bloodborne Pathogens _ valid 1 Year
Training
Lifeguarding/First _ valid 2 Years
Aid/CPR/AED
Waterfront Skills:Valid °
only with _ valid 2 Years
Lifeguarding/First
Aid/CPR/AED
conducted by
American Red Cross
o- -a
Date Completed: 06/15/2014 ' �
Instructors: Melissa Jane St John,Wendy �
Pierce Certificate ID:GQHC5P
To verify,scan code or visit:
redcross.or /confirm
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