STACEY ANN KENNEDY
Registered Nurse


Address: 39 Transylvania Road, Roxbury, CT 06783

STACEY ANN KENNEDY (Credential# 624309) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 5, 2005. The license expiration date date is September 30, 2006. The license status is INACTIVE.

Business Overview

STACEY ANN KENNEDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E55400. The credential type is registered nurse. The effective date is August 5, 2005. The expiration date is September 30, 2006. The business address is 39 Transylvania Road, Roxbury, CT 06783. The current status is inactive.

Basic Information

Licensee Name STACEY ANN KENNEDY
Credential ID 624309
Credential Number 10.E55400
Credential Type Registered Nurse
Business Address 39 Transylvania Road
Roxbury
CT 06783
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-09-10
Effective Date 2005-08-05
Expiration Date 2006-09-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
680305 12.002127 Advanced Practice Registered Nurse 1999-08-19 2005-08-04 - 2006-09-30 INACTIVE
221461 CSP.0028831 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-15 - 2003-02-28 INACTIVE

Office Location

Street Address 39 TRANSYLVANIA ROAD
City ROXBURY
State CT
Zip Code 06783

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Competitor

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City ROXBURY
Zip Code 06783
License Type Registered Nurse
License Type + County Registered Nurse + ROXBURY

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Dataset Information

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).

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