KATHLEEN J ECKMAN APRN (Credential# 531976) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
KATHLEEN J ECKMAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045467. The credential type is controlled substance registration for practitioner. The effective date is May 6, 2009. The expiration date is February 28, 2011. The business address is 106 Sandhurst Dr, Lafayette, LA 70508-6541. The current status is inactive.
Licensee Name | KATHLEEN J ECKMAN APRN |
Credential ID | 531976 |
Credential Number | CSP.0045467 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
106 Sandhurst Dr Lafayette LA 70508-6541 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2009-05-06 |
Effective Date | 2009-05-06 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
592082 | 10.088080 | Registered Nurse | 2009-02-27 | 2010-03-01 - 2011-02-28 | INACTIVE |
682221 | 12.004043 | Advanced Practice Registered Nurse | 2009-02-27 | 2010-03-01 - 2011-02-28 | INACTIVE |
Street Address | 106 SANDHURST DR |
City | LAFAYETTE |
State | LA |
Zip Code | 70508-6541 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ravinder Boorgula | 110 Derby Ln, Lafayette, LA 70508 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Luke E Conner · Cpl Systems Inc | 280 Industrial Pkwy, Lafayette, LA 70508 | Electrical Unlimited Contractor | ~ |
Joann Davis | 121 Durham Drive, Lafayette, LA 70508 | Registered Nurse | 2003-10-03 ~ 2004-07-31 |
Dianne E Breedlove | 131 Vivian Drive, Lafayette, LA 70508 | Speech and Language Pathologist | ~ 1997-02-28 |
Diane P Farley | 111 Boulder Drive, Lafayette, LA 70508 | Registered Nurse | 2003-02-28 ~ 2004-03-31 |
Tanya M Hargrave | 140 Kingspointe Circle, Lafayette, LA 70508 | Registered Nurse | 2002-10-22 ~ 2003-12-31 |
Roberta L Reisdorf | 714 E. Kaliste Saloon Road, Lafayette, LA 70508 | Physical Therapist | ~ 1998-03-31 |
Maria Gabrielle Macko | 202 Meadow Gate Dr, Lafayette, LA 70508-1852 | Speech and Language Pathologist | 2019-10-10 ~ 2020-06-30 |
Richard Fernandez | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 | Registered Nurse | 2019-09-30 ~ 2020-09-30 |
Home Sleep Delivered LLC | 625 E Kaliste Saloom Rd Ste 200, Lafayette, LA 70508-2540 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-10-24 ~ 2020-06-30 |
Find all Licenses in zip 70508 |
City | LAFAYETTE |
Zip Code | 70508 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAFAYETTE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathleen P Carius Aprn | 75 Oak Bluff Ave, Stratford, CT 06615-7714 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kathleen Stone Aprn | 2 Maplewood Rd, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Kathleen A Koenig Aprn | 147 Fairwood Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kathleen A Dishner Aprn | 180 Beech Hill Rd, Rockport, ME 04856-4623 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Kathleen A Parker Aprn | 47 Ives Rd, East Greenwich, RI 02818-4816 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Kathleen R Bonin Aprn | 35 Spruce Lane, Oakdale, CT 06370 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kathleen Quesnette Aprn | 68 Harrington Rd, Broad Brook, CT 06016 | Controlled Substance Registration for Practitioner | 1993-09-24 ~ 1995-04-01 |
Kathleen Grimaud Aprn | 7741 Holiday Dr, Sarasota, FL 34231 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Kathleen O'leary Aprn | 592 Country Club Rd, Avon, CT 06001-2321 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kathleen A Salomone Aprn | 138 Ballyhoo Street, Georgetown, SC 29440 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).