MARY B KRUCKAS APRN (Credential# 395788) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MARY B KRUCKAS APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037028. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 628 Valley Rd, Dayville, CT 06241. The current status is inactive.
| Licensee Name | MARY B KRUCKAS APRN |
| Credential ID | 395788 |
| Credential Number | CSP.0037028 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
628 Valley Rd Dayville CT 06241 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-02-10 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 681363 | 12.003185 | Advanced Practice Registered Nurse | 2005-01-21 | 2015-04-01 - 2016-03-31 | INACTIVE |
| 643442 | 10.R41324 | Registered Nurse | 1987-05-01 | 2015-04-01 - 2016-03-31 | INACTIVE |
| Street Address | 628 VALLEY RD |
| City | DAYVILLE |
| State | CT |
| Zip Code | 06241 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika L Higgins | 56 Philip Lane, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Chrystina Mary Pelletier | 27 Huntley Rd, Dayville, CT 06241 | Esthetician | ~ |
| Elaine Marie Gazzola | 131 Lake Road, Dayville, CT 06241 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Pepin | 239 Hartford Pike, Dayville, CT 06241 | Medication Administration Certification | 2020-06-09 ~ 2022-06-08 |
| Kelly Belanger · Donovan | 61 Pleasant View Dr, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Neysha Larkin | 323 Coomer Hill Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Michael Phillips | 94 Mason Hill Rd, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Vy Nguyen | 31 Ware Rd, Dayville, CT 06241 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Melissa L Seiffert · Theroux Gaudette | 59 Stone Road, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cristie Mitchell | 479 Valley Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Find all Licenses in zip 06241 | |||
| City | DAYVILLE |
| Zip Code | 06241 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DAYVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary E Bartlett Aprn | 23 Southwest Rd, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mary L Fiorillo Aprn | 18 Cavendish Pl, Avon, CT 06001-5100 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mary A Cyr Aprn | 77 Martone Street, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary D Moller Aprn | 405 Stevenson Rd, New Haven, CT 06515-2471 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mary C Young Aprn | 306 Russell St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary K Lemley Aprn | 43 Bay Path Way, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Lamberti Aprn | 106 Wildcat Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Demirs Aprn | 78 Sills Dr, Oakville, CT 06779 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mary Lewis Aprn | 144 Arch Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mary Strohecker Aprn | 21 Reed Rd, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on MARY B KRUCKAS 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).