PRISCILLA B MALLOY APRN (Credential# 638657) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
PRISCILLA B MALLOY APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R32068. The credential type is registered nurse. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 4 Nod Brook Ln, Simsbury, CT 06070-3018. The current status is active.
| Licensee Name | PRISCILLA B MALLOY APRN |
| Credential ID | 638657 |
| Credential Number | 10.R32068 |
| Credential Type | Registered Nurse |
| Business Address |
4 Nod Brook Ln Simsbury CT 06070-3018 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1979-06-21 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 678401 | 12.000209 | Advanced Practice Registered Nurse | 1991-03-12 | 2018-11-01 - 2019-10-31 | INACTIVE |
| 393733 | CSP.0036929 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-01-13 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 4 NOD BROOK LN |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070-3018 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James M Malloy · Malloy Painting | 35 Ashland St, Jewett City, CT 06351 | Home Improvement Contractor | 1998-04-23 ~ 1998-11-30 |
| Gerald J Malloy Jr · Malloy Electric | 198 Scarborough Lane, Middletown, CT 06457-5565 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Doris M Malloy | 247 Isinglass Hl Rd, Portland, CT 06480 | Registered Nurse | 1992-06-25 ~ 1993-05-31 |
| Joan G Malloy | 246 Tuttle Rd, Woodbury, CT 06798-3530 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara C Malloy | 12 Ridgewood Rd, Ridgefield, CT 06877 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
| Evon E Malloy | 119 Ralsey Road, Stamford, CT 06902 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Barbara Malloy | 3488 Hookipa Pl, Kihei, HI 96753-9218 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
| Malloy Properties LLC | 202 Soundview Ave #35, Stamford, CT 06902 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Diane R Malloy · Raczka | 72 Foley Drive, Southington, CT 06489 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Patrice A Malloy | 189 Davis Avenue, White Plains, NY 10605 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
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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).