JACKIE L KEEN APRN
Registered Nurse


Address: 19 Vintage Lane, South Windsor, CT 06074

JACKIE L KEEN APRN (Credential# 651768) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 22, 2005. The license expiration date date is May 31, 2006. The license status is INACTIVE.

Business Overview

JACKIE L KEEN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R52022. The credential type is registered nurse. The effective date is March 22, 2005. The expiration date is May 31, 2006. The business address is 19 Vintage Lane, South Windsor, CT 06074. The current status is inactive.

Basic Information

Licensee Name JACKIE L KEEN APRN
Credential ID 651768
Credential Number 10.R52022
Credential Type Registered Nurse
Business Address 19 Vintage Lane
South Windsor
CT 06074
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-12-08
Effective Date 2005-03-22
Expiration Date 2006-05-31
Refresh Date 2009-07-10

Other licenses

ID Credential Code Credential Type Issue Term Status
680884 12.002706 Advanced Practice Registered Nurse 2002-06-21 2005-03-22 - 2006-05-31 INACTIVE
358463 CSP.0034360 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 19 VINTAGE LANE
City SOUTH WINDSOR
State CT
Zip Code 06074

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Barbara Brant Feehan 139 Rockledge Drive, South Windsor, CT 06074 Audiologist 2020-09-01 ~ 2021-08-31
Jillmarie S Macaluso 230 Orchard Hill Dr, S Windsor, CT 06074 Respiratory Care Practitioner 2020-08-01 ~ 2021-07-31
Jason K Smith 854 Foster Street Ext, South Windsor, CT 06074 Professional Engineer 2020-06-26 ~ 2021-01-31
Abc Property Care LLC 376 Pleasant Valley Road, South Windsor, CT 06074 Home Improvement Contractor 2020-06-26 ~ 2020-11-30
Ashley Ann Corridori 21 Abar Lane, South Windsor, CT 06074 Physician Assistant 2020-07-01 ~ 2021-06-30
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Competitor

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City SOUTH WINDSOR
Zip Code 06074
License Type Registered Nurse
License Type + County Registered Nurse + SOUTH WINDSOR

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Lisa M Keen 426 Monomoscoy Rd, Mashpee, MA 02649 Registered Nurse 1995-08-28 ~ 1996-10-31
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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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