KELLY M DOUGLAS APRN (Credential# 648114) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 26, 1999. The license expiration date date is May 31, 2000. The license status is INACTIVE.
KELLY M DOUGLAS APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R48365. The credential type is registered nurse. The effective date is March 26, 1999. The expiration date is May 31, 2000. The business address is 4 Erin Street, Middletown, CT 06457. The current status is inactive.
| Licensee Name | KELLY M DOUGLAS APRN |
| Credential ID | 648114 |
| Credential Number | 10.R48365 |
| Credential Type | Registered Nurse |
| Business Address |
4 Erin Street Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1992-11-02 |
| Effective Date | 1999-03-26 |
| Expiration Date | 2000-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 679751 | 12.001572 | Advanced Practice Registered Nurse | 1997-05-09 | 1999-03-26 - 2000-05-31 | INACTIVE |
| 182131 | CSP.0025585 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
| Street Address | 4 ERIN STREET |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas Patrick Hobbins Aprn | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2012-08-03 ~ 2013-09-30 |
| James A Kelly Aprn | 96 Conklin Rd, Stafford Springs, CT 06076-4203 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| James P Kelly Aprn | 343 Parsonage St, Rocky Hill, CT 06067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erin E Kelly Aprn | 84 Bishop St, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2007-06-01 ~ 2008-06-30 |
| Kelly L Hargett Aprn | 907 Main St, Locke, NY 13092 | Advanced Practice Registered Nurse | 2004-01-16 ~ 2005-02-28 |
| Douglas H Payne Aprn | 3360 S. Atlantic Ave, Cocoa Beach, FL 32931 | Advanced Practice Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Lindsay M Boulter | 3 Kelly Circle, Douglas, MA 01516 | Registered Nurse | 2010-07-01 ~ 2011-06-30 |
| Douglas A Kelly | 6551 80th Ave Se, Mercer Island, WA 98040 | Registered Nurse | 2006-02-14 ~ 2007-04-30 |
| Anne D Fleishell-kelly · Kelly | 68 Musket Ridge Rd, Wilton, CT 06897 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Barbara A Kelly-gibbs · Kelly | 2450 Cherry Blossom, Suffolk, VA 23434 | Registered Nurse | 2007-02-12 ~ 2008-03-31 |
Please comment or provide details below to improve the information on KELLY M DOUGLAS 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).