ELIZABETH JACKSON APRN (Credential# 637397) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 16, 2002. The license expiration date date is September 30, 2003. The license status is INACTIVE.
ELIZABETH JACKSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R29326. The credential type is registered nurse. The effective date is July 16, 2002. The expiration date is September 30, 2003. The business address is Uconn Health Ctr, Farmington, CT 06030. The current status is inactive.
| Licensee Name | ELIZABETH JACKSON APRN |
| Credential ID | 637397 |
| Credential Number | 10.R29326 |
| Credential Type | Registered Nurse |
| Business Address |
Uconn Health Ctr Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1977-02-24 |
| Effective Date | 2002-07-16 |
| Expiration Date | 2003-09-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 678619 | 12.000434 | Advanced Practice Registered Nurse | 1991-07-09 | 2002-07-17 - 2003-09-30 | INACTIVE |
| 160002 | CSP.0020311 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | UCONN HEALTH CTR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin D Dieckhaus | Uconn Health Ctr, Farmington, CT 06030-0001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Martin Freilich | Uconn Health Ctr, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra A Barnosky Aprn | Uconn Health Ctr, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George Y Wu Md | Uconn Health Ctr, Farmington, CT 06030-1239 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven M Lepowsky | Uconn Health Ctr, Farmington, CT 06030-3905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark L Metersky | Uconn Health Ctr, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cheryl A Oncken Md | Uconn Health Ctr, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Thibodeau Dmd | Uconn Health Ctr, Farmington, CT 06030 | Dentist | 2018-10-01 ~ 2019-09-30 |
| William Vargas | Uconn Health Ctr, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael S Dahn Md | Uconn Health Ctr, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ruth Deilus Aprn | 2808 Hearthstone, Jackson, MI 49201 | Advanced Practice Registered Nurse | 2003-11-10 ~ 2004-11-30 |
| Seja Joyce Jackson Aprn | 95 Woodbridge Rd, Glastonbury, CT 06033-2924 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elizabeth Kolthay Aprn | 24 Hospital Ave, Danbury, CT 06810-6099 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Elizabeth A Rennie Aprn | 300 E 23rd St Apt 4b, New York, NY 10010-4777 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elizabeth M Anavy Aprn | 39 Hoyt St., Darien, CT 06820 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Elizabeth A Fabrizi Aprn | 42 Christina Ln, Westbrook, CT 06498-2834 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Elizabeth Lamphere Aprn | 296 Georgetown Dr, Watertown, CT 06795-3344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Elizabeth M Smith Aprn | 14 Pondfield Rd, New Fairfield, CT 06812 | Registered Nurse | 2008-05-20 ~ 2009-07-31 |
| Elizabeth Pridgen Putnam Aprn | 68 Beverly Rd, Asheville, NC 28805-1904 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Elizabeth Raccuia Aprn | 74 Puritan Road, Trumbull, CT 06611 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
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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).