MALLORY ROPER (Credential# 2015093) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 18, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
MALLORY ROPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008803. The credential type is advanced practice registered nurse. The effective date is March 18, 2020. The expiration date is January 31, 2021. The business address is 13511 Ironton Dr, Tampa, FL 33626-2967. The current status is active.
| Licensee Name | MALLORY ROPER |
| Credential ID | 2015093 |
| Credential Number | 12.008803 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
13511 Ironton Dr Tampa FL 33626-2967 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-18 |
| Effective Date | 2020-03-18 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-03-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2012338 | 10.169447 | Registered Nurse | 2020-03-16 | 2020-03-16 - 2021-01-31 | ACTIVE |
| 2012391 | 10.168808-TEMP | Registered Nurse - Temporary | 2020-02-26 | 2020-02-26 - 2020-06-25 | INACTIVE |
| Street Address | 13511 IRONTON DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33626-2967 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna K Sierzant | 11045 Longboat Key Lane, Tampa, FL 33626 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Souheil S Chehayeb | 14709 Castelletto Dr, Tampa, FL 33626 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Lorenzo Dibacco | 12908 Castlemaine Drive, Tampa, FL 33626 | Repairer of Weighing & Measuring Devices | 2018-01-01 ~ 2018-12-31 |
| Emma E Diaz | Emma Diaz, Tampa, FL 33626 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| William Harkness Freeman | 9906 Woodbay Dr, Tampa, FL 33626 | Professional Engineer | ~ |
| Raymond E Lefranc Md | 10723 Tavistock Dr, Tampa, FL 33626 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marianne F Sangster | 12012 Mountbatten Drive, Tampa, FL 33626 | Registered Nurse | 2013-11-01 ~ 2014-10-31 |
| William Eng | 9821 Tree Tops Lake Road, Tampa, FL 33626 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
| Stacy L Kantola | 10803 Oaklawn Garden Ct, Tampa, FL 33626 | Radiographer | 2008-05-30 ~ 2009-06-30 |
| Willem R Stegeman | 10361, Tampa, FL 33626 | Physical Therapist | 2003-06-12 ~ 2004-07-31 |
| Find all Licenses in zip 33626 | |||
| City | TAMPA |
| Zip Code | 33626 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + TAMPA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mallory J Muzykoski | 137 Bennett Rd, Voluntown, CT 06384-1711 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mallory Nichole Fossa | 8 Watch Hill Ave, Stonington, CT 06378 | Advanced Practice 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 |
| Elizabeth S Doty | 77 Lee Dr, Southington, CT 06489-2926 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
| Kathleen Dibiase | 26 Independence Way, Titusville, NJ 08560 | Advanced Practice Registered Nurse | ~ |
| Michelle O Itidiare | 255 Baltusrol Way, Springfield, NJ 07081-2107 | Advanced Practice Registered Nurse | ~ |
| Maggin Mathew | 49 Autumn Cir, Yonkers, NY 10703-1605 | Advanced Practice Registered Nurse | ~ |
| Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
| Cheryl Conwell | 523 E 72nd St, New York, NY 10021-4099 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on MALLORY ROPER.
| 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).