AMY A AMPUJA (Credential# 1186420) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
AMY A AMPUJA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.005565. The credential type is advanced practice registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 17 Smithwheel Rd, Old Orchard Beach, ME 04064-1009. The current status is active.
| Licensee Name | AMY A AMPUJA |
| Credential ID | 1186420 |
| Credential Number | 12.005565 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
17 Smithwheel Rd Old Orchard Beach ME 04064-1009 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-03 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1186411 | 10.113957 | Registered Nurse | 2013-10-03 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 1191334 | CSP.0056339 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-10-30 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 17 SMITHWHEEL RD |
| City | OLD ORCHARD BEACH |
| State | ME |
| Zip Code | 04064-1009 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael L Claypoole | 180 Saco Avenue Unit # 25, Old Orchard Beach, ME 04064 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laurie M Thompson | 18 Smithwheel Road, Old Orchard Beach, ME 04064 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Cathryn Paolucci | 10 Washington Avenue, Old Orchard Beach, ME 04064 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary Ann B Baumann | 9 Tunis Ave, Old Orchard Beach, ME 04064 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Richard Williams · R Williams Paving | 62 Ross Rd, Old Orchard Beach, ME 04064 | Home Improvement Contractor | 2010-06-15 ~ 2010-11-30 |
| Christine F Hogan | 24 Lake Avenue, Old Orchard Beach, ME 04064 | Registered Nurse | 2014-01-01 ~ 2014-12-31 |
| Diane L Lapointe | 3 Cider Hill Dr, Old Orchard Beach, ME 04064 | Registered Nurse | 2009-08-03 ~ 2010-08-31 |
| Judith D Klingensmith | 39 Park St, Old Orchard Beach, ME 04064 | Registered Nurse | 2009-06-01 ~ 2010-06-30 |
| Gloria Klein | 123 Portland Ave, Old Orchard Beach, ME 04064 | Registered Nurse | 2009-02-23 ~ 2010-04-30 |
| Louise A Bell | 3 Goodwin Ave, Old Orchard Beach, ME 04064 | Registered Nurse | 1993-09-23 ~ 1994-06-30 |
| Find all Licenses in zip 04064 | |||
| City | OLD ORCHARD BEACH |
| Zip Code | 04064 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + OLD ORCHARD BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kristen Shoar | 56 Fountain Rd, Wales, MA 01081-9511 | Advanced Practice Registered Nurse | ~ |
| Effiem Obasi | 143 Longwood Ave, Providence, RI 02908-1121 | Advanced Practice Registered Nurse | ~ |
| Jacqueline M Havriliak | P O Box 427, Wayne, PA 19087 | Advanced Practice Registered Nurse | 2002-01-14 ~ 2003-02-28 |
| Karen Parkhurst | 65 Fox Run Dr, Southbury, CT 06488-2441 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Maggin Mathew | 49 Autumn Cir, Yonkers, NY 10703-1605 | Advanced Practice Registered Nurse | ~ |
| L. Ann Whitaker | 20 Sconset Ln, Guilford, CT 06437-1899 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Nicole M Frost | Po Box 25, Poquonock, CT 06064 | Advanced Practice Registered Nurse | 2016-11-01 ~ 2017-10-31 |
| Vivian E Koenig | P O Box 414, Purdys, NY 10578 | Advanced Practice Registered Nurse | 2001-12-17 ~ 2003-01-31 |
| Mary T Miller | 55 3rd St, Worcester, MA 01602-3421 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on AMY A AMPUJA.
| 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).