LAURA K VAN DYKE APRN (Credential# 198849) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LAURA K VAN DYKE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027124. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 71 Broad St, Groton, CT 06340-3609. The current status is active.
| Licensee Name | LAURA K VAN DYKE APRN |
| Credential ID | 198849 |
| Credential Number | CSP.0027124 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
71 Broad St Groton CT 06340-3609 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 679454 | 12.001274 | Advanced Practice Registered Nurse | 1996-02-09 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 620992 | 10.E51964 | Registered Nurse | 1989-08-24 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 71 BROAD ST |
| City | GROTON |
| State | CT |
| Zip Code | 06340-3609 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walter M Brown | 91 Broad St, Groton, CT 06340-3609 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura M Mcdonald Aprn | 66 Foster St 3rd Flr, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Laura K Andrews Aprn | 2 Patton Ave, Seymour, CT 06483 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura D Sullivan Aprn | 501 Pearse Rd, Swansea, MA 02777 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Laura C Conway Aprn | 20 Luke St, Prospect, CT 06712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura R Wilson Aprn | 31 Monterey Avenue, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Laura J Lata Aprn | 19388 Clarkrange Hwy, Monterey, TN 38574-3706 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Laura Joy Robinson Sczurek Aprn | 47 Cook Hill Rd., Lebanon, CT 06249 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura M Page Aprn | 99 Hobart Avenue, Port Chester, NY 10573 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Laura S Hunnibell Aprn | 1230 Grinnell Drive, Yellow Springs, OH 45387-9795 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerald S Braun | 183 Van Dyke St Apt 3f, Brooklyn, NY 11231-1011 | Controlled Substance Registration for Practitioner | 2019-04-11 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LAURA K VAN DYKE 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).