ANGELA M SHAMBER APRN (Credential# 577419) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
ANGELA M SHAMBER APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.073415. The credential type is registered nurse. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is 320 Pomfret Street, Putnam, CT 06260. The current status is inactive.
| Licensee Name | ANGELA M SHAMBER APRN |
| Credential ID | 577419 |
| Credential Number | 10.073415 |
| Credential Type | Registered Nurse |
| Business Address |
320 Pomfret Street Putnam CT 06260 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-06-14 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 681355 | 12.003177 | Advanced Practice Registered Nurse | 2004-12-15 | 2018-07-01 - 2019-06-30 | INACTIVE |
| 1083708 | CSP.0053221 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-19 | 2017-03-01 - 2019-02-28 | LAPSED |
| 393129 | CSP.0036903 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-01-03 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 320 POMFRET STREET |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Antony Notash | 320 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sagar Verma | 320 Pomfret Street, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jaami Lm Rutledge | 320 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Woman's Board of Day Kimball Hospital | 320 Pomfret Street, Putnam, CT 06260 | Raffle Permit Class 5 | 2012-03-05 ~ 2012-06-14 |
| Day Kimball Hospital · Day Kimball Homecare Alsa | 320 Pomfret Street, Putnam, CT 06260 | Assisted Living Service Agency | 2005-06-30 ~ 2007-06-30 |
| Janice E Katz | 320 Pomfret Street, Putnam, CT 06260 | Physician/surgeon | 2005-08-05 ~ 2006-05-31 |
| Stephen R Greenberg Md | 320 Pomfret Street, Putnam, CT 06260 | Physician/surgeon | 1999-12-15 ~ 2001-02-28 |
| Lucille Lanna Md · Day Kimball Hospital | 320 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Richard E Arnold Md · Day Kimball Hospital | 320 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 1996-07-12 ~ 1997-02-28 |
| Charles D Guri | 320 Pomfret Street, Putnam, CT 06260 | Physician/surgeon | 1993-03-24 ~ 1994-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angela Mercurio Aprn | 196 Wormwood Rd, Fairfield, CT 06824 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Angela Monterosso Aprn | 3870 22nd Ave Se, Naples, FL 34117 | Registered Nurse | 2007-03-29 ~ 2008-05-31 |
| Angela G Younger Aprn | 605 Longfellow Dr, Branford, CT 06405-5810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Angela A Crowley Aprn | 566 Broadview Rd, Orange, CT 06477 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Angela M Godwin Aprn | 246 Bruckner Ave., Staten Island, NY 10303 | Advanced Practice Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Charlette A Shamber · Prokop | 26 Pillsbury Hill, Rockville, CT 06066 | Hairdresser/cosmetician | 2015-02-01 ~ 2017-01-31 |
| Daniel S Shamber | 12 Oakland Rd, Amston, CT 06231 | Heating, Piping & Cooling Unlimited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Angela S Boisseau Aprn | 11 Amherst Dr, Auburn, MA 01501-2167 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Angela N Monzon Aprn | 1 Debra Ct, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Angela B Anderson Aprn | 86 Vista Way, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on ANGELA M SHAMBER 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).