THERESA A BURDICK (Credential# 1422428) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
THERESA A BURDICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007414. The credential type is advanced practice registered nurse. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 19 Ailish Ln, Brewster, NY 10509-2164. The current status is active.
Licensee Name | THERESA A BURDICK |
Credential ID | 1422428 |
Credential Number | 12.007414 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
19 Ailish Ln Brewster NY 10509-2164 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-12-18 |
Effective Date | 2019-07-01 |
Expiration Date | 2020-06-30 |
Refresh Date | 2019-08-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
652047 | 10.R52301 | Registered Nurse | 1996-02-16 | 2019-07-01 - 2020-06-30 | ACTIVE |
1445945 | 10.144528-TEMP | Registered Nurse - Temporary | 2017-08-30 | 2017-08-30 - 2017-12-27 | INACTIVE |
909697 | 10.092091-TEMP | Registered Nurse - Temporary | 2010-01-05 | 2010-01-05 - 2010-05-05 | INACTIVE |
912206 | 12 | Advanced Practice Registered Nurse | - | EXPIRED APPLICATION |
Street Address | 19 AILISH LN |
City | BREWSTER |
State | NY |
Zip Code | 10509-2164 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wendy Darleny Vasquez Ramirez | 2567 Carmel Ave, Brewster, NY 10509 | Nail Technician | ~ |
Scott Reed Dakin | 3 Salmons Hollow Road, Brewster, NY 10509 | Architect | 2020-08-01 ~ 2021-07-31 |
Nicola Shelbourne | 153 Farm To Market Road, Brewster, NY 10509 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Taylor Jendras | 391 Gage Road, Brewster, NY 10509 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Caroline Margaret Bedard | 601 Seven Field Lane, Brewster, NY 10509 | Esthetician | ~ |
Lorraine Salavec | 22 Windswept Circle, Brewster, NY 10509 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Katelyn M Healy | 2 Wilson Road, Brewster, NY 10509 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mary Ann Stabe | 105 Bentley Ct, Brewster, NY 10509 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Paul Wasserman | 88 Lakeview Drive, Brewster, NY 10509 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Rosemarie C Butti | 21 Peach Brook Lane, Brewster, NY 10509 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 10509 |
City | BREWSTER |
Zip Code | 10509 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + BREWSTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Theresa M Salerno | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Advanced Practice Registered Nurse | 2013-03-22 ~ 2014-02-28 |
Theresa Rose Bly | 178 9th St E Ste 300, Saint Paul, MN 55101-2577 | Advanced Practice Registered Nurse | 2019-07-01 ~ 2020-07-31 |
Theresa A Cutillo-schmitter Aprn | 2 Wintergreen Ct, Woodbury, CT 06798-3218 | Advanced Practice Registered Nurse | 2017-09-01 ~ 2018-08-31 |
Theresa Fuentes Nielsen | 209 Hazeltine Drive, Lakeway, TX 78734 | Advanced Practice Registered Nurse | 2016-08-25 ~ 2017-07-31 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Leigh B Bak | 15 Seaside Ct, Milford, CT 06460-4608 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Gary L Roy | 132 Adams St, New Britain, CT 06052 | Advanced Practice Registered Nurse | 2009-07-03 ~ 2010-07-31 |
Gordon P Kempe | Po Box 277, Sanbornton, NH 03269 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-06-30 |
Amy Jacobson | 14 Brimfield Way, Westfield, MA 01085-4383 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Ira Mauro | 2 Ruby Rd, Marlboro, NY 12542-5519 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
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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).