NEDRA L CACCOMO (Credential# 678206) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 15, 2001. The license expiration date date is June 30, 2010. The license status is INACTIVE.
NEDRA L CACCOMO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000012. The credential type is advanced practice registered nurse. The effective date is May 15, 2001. The expiration date is June 30, 2010. The business address is 36 Ellsworth Rd, West Hartford, CT 06107. The current status is inactive.
| Licensee Name | NEDRA L CACCOMO |
| Credential ID | 678206 |
| Credential Number | 12.000012 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
36 Ellsworth Rd West Hartford CT 06107 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1990-12-10 |
| Effective Date | 2001-05-15 |
| Expiration Date | 2010-06-30 |
| Refresh Date | 2010-12-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 597926 | 10.E21933 | Registered Nurse | 1956-11-14 | 2000-05-09 - 2001-06-30 | INACTIVE |
| 157978 | CSP.0020720 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
| Street Address | 36 ELLSWORTH RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
| Peggy A Ashley | Po Box 2415, Cornelius, NC 28031-2415 | Advanced Practice Registered Nurse | ~ |
| Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
| Gordon P Kempe | Po Box 277, Sanbornton, NH 03269 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-06-30 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Alice Bauman | P O Box 246, Ashby, MA 01431-0246 | Advanced Practice Registered Nurse | 2000-08-24 ~ 2001-09-30 |
| Lauren M Vo | 9 Cardinal Rd, Simsbury, CT 06070-1141 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joanna Mrozek | 270 Oak St, Manchester, CT 06040-5563 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Tim G Bombard | 694 Palisado Ave, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on NEDRA L CACCOMO.
| 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).