DEVON P CARROLL
Advanced Practice Registered Nurse


Address: 81 Orchard St # 2, Cambridge, MA 02140-1329

DEVON P CARROLL (Credential# 1029370) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.

Business Overview

DEVON P CARROLL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.004765. The credential type is advanced practice registered nurse. The effective date is July 1, 2016. The expiration date is June 30, 2017. The business address is 81 Orchard St # 2, Cambridge, MA 02140-1329. The current status is inactive.

Basic Information

Licensee Name DEVON P CARROLL
Credential ID 1029370
Credential Number 12.004765
Credential Type Advanced Practice Registered Nurse
Business Address 81 Orchard St # 2
Cambridge
MA 02140-1329
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-08-24
Effective Date 2016-07-01
Expiration Date 2017-06-30
Refresh Date 2017-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
910463 10.093072 Registered Nurse 2010-03-22 2016-07-01 - 2017-06-30 INACTIVE
1031806 CSP.0051345 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-09-02 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 81 ORCHARD ST # 2
City CAMBRIDGE
State MA
Zip Code 02140-1329

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Lisa G Boettger 245 Walden St, Cambridge, MA 02140 Architect 2019-08-01 ~ 2020-07-31
Deneen Crosby 19 Sargent St, Cambridge, MA 02140 Landscape Architect 2017-08-01 ~ 2018-07-31
Catherine R Waltman 69 Harvey St Apt #11, Cambridge, MA 02140 Professional Engineer 2017-06-13 ~ 2018-01-31
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Competitor

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City CAMBRIDGE
Zip Code 02140
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + CAMBRIDGE

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Dataset Information

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).

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