LINDA M LAKE APRN (Credential# 159264) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
LINDA M LAKE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019196. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 3026 Brisbane Dr, Mt Juliet, TN 37122. The current status is inactive.
| Licensee Name | LINDA M LAKE APRN |
| Credential ID | 159264 |
| Credential Number | CSP.0019196 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3026 Brisbane Dr Mt Juliet TN 37122 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 678548 | 12.000360 | Advanced Practice Registered Nurse | 1991-05-14 | 2009-08-01 - 2010-07-31 | INACTIVE |
| 635292 | 10.R24459 | Registered Nurse | 1972-09-13 | 2004-05-26 - 2005-07-31 | INACTIVE |
| 841213 | 70.001479 | Emergency Medical Technician | 2001-05-25 | 2002-07-05 - 2005-01-01 | INACTIVE |
| Street Address | 3026 BRISBANE DR |
| City | MT JULIET |
| State | TN |
| Zip Code | 37122 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Seth Lake | 3026 Brisbane Dr, Mt Juliet, TN 37122 | Pharmacy Technician | 2005-04-28 ~ 2006-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert M Williams | 4015 Ethan Avenue, Mount Juliet, TN 37122 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Joseph Adam Schlosser | 1408 Fairview Dr, Mt Juliet, TN 37122 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jacqueline Del Carmen Guerrero | 791 Plowson Road, Mount Juliet, TN 37122 | Dental Hygienist | 2019-11-01 ~ 2020-10-31 |
| Dustine Ann Bennett | 401 Guethlein Rd, Mount Juliet, TN 37122 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Sarah Grace Ramos | 212 Buckhead Trail, Mount Juliet, TN 37122 | Registered Nurse - Temporary | 2018-03-22 ~ 2018-07-19 |
| Kerry A Gluck · Keogh | 1403 Fairview Drive, Mt. Juliet, TN 37122 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
| Angela F Boffah | 1006 Fairview Knoll Ct, Mt. Juliet, TN 37122 | Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Sara L Zeien-fournier | 611 Windy Road, Mt. Juliet, TN 37122 | Registered Nurse | 2009-05-27 ~ 2010-06-30 |
| Craig G Haas | 113 Beagle Run, Mt. Juliet, TN 37122 | Registered Nurse | 2007-05-14 ~ 2008-05-31 |
| Anita M Jacquemin · Scarpelli | 7600a Lebanon Rd, Mt. Juliet, TN 37122 | Registered Nurse | 2007-06-11 ~ 2008-06-30 |
| Find all Licenses in zip 37122 | |||
| City | MT JULIET |
| Zip Code | 37122 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MT JULIET |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda Thomson Aprn | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eddie A Manley Aprn | 506 Linda Dr, Hopkinsville, KY 42240-3957 | Controlled Substance Registration for Practitioner | 2011-05-31 ~ 2013-02-28 |
| Linda A Hopkins Aprn | 461 Mallard Ln, Indialantic, FL 32903-4735 | Controlled Substance Registration for Practitioner | 2011-07-18 ~ 2013-02-28 |
| Linda S Arsenie Aprn | 50 Saw Mill Rd, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Linda M Smith Aprn | 51 Old Highway, Wilton, CT 06897-3114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda Regan Aprn | 51 Delahunty Dr, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 1996-06-19 ~ 1997-02-28 |
| Linda C Bubaris Aprn | 177 Center Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Linda Briden Aprn | 85 Apple Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Linda M Spiegel Aprn | 233 Northview Dr, South Windsor, CT 06074-3520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda Regan Aprn | 51 Delahunty Drive, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LINDA M LAKE APRN.
| 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).