JEFFREY S EDELMAN APRN (Credential# 411322) 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.
JEFFREY S EDELMAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037850. 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 17526 W Port Royale Lane, Surprise, AZ 85388. The current status is inactive.
| Licensee Name | JEFFREY S EDELMAN APRN |
| Credential ID | 411322 |
| Credential Number | CSP.0037850 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
17526 W Port Royale Lane Surprise AZ 85388 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-07-22 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 576908 | 10.072904 | Registered Nurse | 2004-03-01 | 2011-04-01 - 2012-03-31 | INACTIVE |
| 681436 | 12.003258 | Advanced Practice Registered Nurse | 2005-07-11 | 2011-04-01 - 2012-03-31 | INACTIVE |
| Street Address | 17526 W PORT ROYALE LANE |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85388 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy Laine Easley | 11142 N 165th Dr #116, Surprise, AZ 85388 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kieth L Gitter | 17945 W. Maui Lane, Surprise, AZ 85388 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Laura Elizabeth Sullivan | 18042 W Lisbon Lane, Surprise, AZ 85388 | Registered Nurse | 2018-01-18 ~ 2018-07-31 |
| Laura M Bukowski | 16332 N 170th Ln, Surprise, AZ 85388 | Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Margaret R Cuozzo · Hagerty | 17943 W Caribbean Lane, Surprise, AZ 85388 | Registered Nurse | 2007-05-22 ~ 2008-07-31 |
| J Jade Nielson | 18176 W Saguaro Ln, Surprise, AZ 85388-1648 | Home Improvement Salesperson | 2015-04-15 ~ 2015-11-30 |
| Qiana Monyelle Ovando | 17592 W Young St, Surprise, AZ 85388-3127 | Registered Nurse - Temporary | 2016-11-17 ~ 2017-03-16 |
| Margie D Gregersen | 18028 W Port Royale Ln, Surprise, AZ 85388-7584 | Registered Nurse | 2015-04-22 ~ 2016-01-31 |
| Christine M Hegarty Baker | 14938 N 172nd Dr, Surprise, AZ 85388-7817 | Registered Nurse | 2014-02-03 ~ 2015-02-28 |
| Lindsay Beth Blum | 15203 N 174th Dr, Surprise, AZ 85388-7842 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 85388 | |||
| City | SURPRISE |
| Zip Code | 85388 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SURPRISE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cb Benway Aprn | 9 Jeffrey Lane, Newington, CT 06111-1617 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Jeffrey C Sheehan Aprn | 9a Hawkins Ave, Norwalk, CT 06855 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey L Rutherford Aprn | 1404 Aspen Glen Drive, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Mark A Edelman | 17 Sasqua Rd, Norwalk, CT 06855-2824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| E. Jennifer Edelman | 200 Thornton St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven P Edelman Md | 2802 Swamp Rd, South Ryegate, VT 05069 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Jerry Edelman Md | Executive Health Group, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Jeffrey R Darna Aprn | 656 N. West Knoll Drive, West Hollywood, CA 90069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on JEFFREY S EDELMAN 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).