CARMEN V KEITH APRN (Credential# 524618) 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.
CARMEN V KEITH APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045095. 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 28770 Bay Branch Dr, Daphne, AL 36526-8570. The current status is inactive.
| Licensee Name | CARMEN V KEITH APRN |
| Credential ID | 524618 |
| Credential Number | CSP.0045095 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
28770 Bay Branch Dr Daphne AL 36526-8570 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-02-06 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 682196 | 12.004018 | Advanced Practice Registered Nurse | 2009-01-22 | 2011-02-18 - 2011-09-30 | INACTIVE |
| 591776 | 10.087774 | Registered Nurse | 2009-01-22 | 2011-02-18 - 2011-09-30 | INACTIVE |
| Street Address | 28770 BAY BRANCH DR |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526-8570 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Charlene Wickware | 27821 State Highway 181 Unit 3002, Daphne, AL 36526 | Registered Nurse | ~ |
| Jacquelin M Macdonald | 8120 Soldier Ct, Daphne, AL 36526 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Arturo Cesar F Javellana Jr | 830 U.S. Highway 98, Daphne, AL 36526 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| John R Hardesty | 10881 Sterling Ct, Daphne, AL 36526 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Susan P Nance | 9307 Sehoy Blvd, Daphne, AL 36526 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Danny R Vaughn | Apt 1026, Daphne, AL 36526 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| John C Hancock | 1257 Patrick St, Daphne, AL 36526 | Heating, Piping & Cooling Unlimited Contractor | 2009-09-01 ~ 2010-08-31 |
| Norman C Pennington | 127 Hope Drive, Daphne, AL 36526 | Registered Nurse | 1997-12-01 ~ 1999-01-31 |
| Donna M Wooster | 103 Gordon Circle, Daphne, AL 36526 | Occupational Therapist | 1995-10-26 ~ 1997-07-31 |
| Jeffrey G Triboulet | 8118 Creekbank Dr., Daphne, AL 36526 | Registered Nurse | 2001-08-20 ~ 2002-02-28 |
| Find all Licenses in zip 36526 | |||
| City | DAPHNE |
| Zip Code | 36526 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DAPHNE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmen L Pisc | 451 Lowell St, Andover, MA 01810 | Controlled Substance Registration for Practitioner | ~ |
| Jayasanker V Valiyaparambil | 2 Carmen Rd, Milford, CT 06460-7508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carmen Rivera | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2008-07-17 ~ 2009-02-28 |
| Carmen E Colomer | 200 Retreat Ave, Hartford, CT 06106-3309 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carmen Pisc | 451 Lowell St, Andover, MA 01810-5304 | Controlled Substance Registration for Practitioner | 2019-05-22 ~ 2021-02-28 |
| Carmen Monzon Md | 297 Norwood Ave, Cranston, RI 02905-2711 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Carmen J Booth Dvm | 175 Ridge Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carmen I Johnson-martell | 134 S Second St, Hampton, VA 23664-1214 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cirstea Carmen Daniela Md | 350 Montauk Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Carmen L Brown | 4 Harnish Lane, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CARMEN V KEITH 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).