JACOB A KAPPLAN (Credential# 1401656) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JACOB A KAPPLAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006961. The credential type is advanced practice registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 78 Maplewood Ave, West Hartford, CT 06119-1629. The current status is active.
| Licensee Name | JACOB A KAPPLAN |
| Credential ID | 1401656 |
| Credential Number | 12.006961 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
78 Maplewood Ave West Hartford CT 06119-1629 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-08 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 593216 | 10.089214 | Registered Nurse | 2009-07-07 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 1411234 | CSP.0064985 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1393893 | 10.139273-TEMP | Registered Nurse - Temporary | 2016-12-14 | 2016-12-14 - 2017-04-12 | INACTIVE |
| 849246 | 70.009513 | Emergency Medical Technician | 2008-05-15 | 2008-05-15 - 2009-07-01 | INACTIVE |
| Street Address | 78 MAPLEWOOD AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1629 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Teti | 78 Maplewood Ave, West Hartford, CT 06119-1629 | Controlled Substance Registration for Practitioner | 2019-01-08 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Fallon | 24 Maplewood Ave, West Hartford, CT 06119-1629 | Notary Public Appointment | 2020-05-29 ~ 2025-05-31 |
| Cassidy Ruocco | 80 Maplewood Ave, West Hartford, CT 06119-1629 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sawyer F Emmer | 42 Maplewood Ave, West Hartford, CT 06119-1629 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam J Anderson | 96 Maplewood Ave, West Hartford, CT 06119-1629 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Frank James Fallon | 24 Maplewood Ave, West Hartford, CT 06119-1629 | Registered Nurse | 2019-07-09 ~ 2020-07-31 |
| Diana D Hede Dds | 84 Maplewood Ave, West Hartford, CT 06119-1629 | Dentist | 2018-03-01 ~ 2019-02-28 |
| Tyler M Aten | 58 Maplewood Ave, West Hartford, CT 06119-1629 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Cassidy Davidson | 82 Maplewood Ave, West Hartford, CT 06119-1629 | Family Child Care Home | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Kapplan | 6519 Tieton Dr, Yakima, WA 98908-1754 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Nancy L Kapplan · Zembko | 2 Webster Road, Union, CT 06076 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann M Pechulis | 269 Captain Rd, Longmeadow, MA 01106-2549 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Theresa M Salerno | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Advanced Practice Registered Nurse | 2013-03-22 ~ 2014-02-28 |
| Tim G Bombard | 694 Palisado Ave, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Kristen Shoar | 56 Fountain Rd, Wales, MA 01081-9511 | Advanced Practice Registered Nurse | ~ |
| Mary T Miller | 55 3rd St, Worcester, MA 01602-3421 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Joanna Mrozek | 270 Oak St, Manchester, CT 06040-5563 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on JACOB A KAPPLAN.
| 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).