SHEILA A MACK APRN
Advanced Practice Registered Nurse


Address: 39 Cranbury Drive, Trumbull, CT 06611

SHEILA A MACK APRN (Credential# 678262) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 23, 2000. The license expiration date date is April 30, 2001. The license status is INACTIVE.

Business Overview

SHEILA A MACK APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000068. The credential type is advanced practice registered nurse. The effective date is June 23, 2000. The expiration date is April 30, 2001. The business address is 39 Cranbury Drive, Trumbull, CT 06611. The current status is inactive.

Basic Information

Licensee Name SHEILA A MACK APRN
Credential ID 678262
Credential Number 12.000068
Credential Type Advanced Practice Registered Nurse
Business Address 39 Cranbury Drive
Trumbull
CT 06611
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-01-08
Effective Date 2000-06-23
Expiration Date 2001-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
643859 10.R42105 Registered Nurse 1987-11-02 1999-03-02 - 2000-04-30 INACTIVE
216042 CSP.0028312 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-06-10 - 2000-02-28 INACTIVE

Office Location

Street Address 39 CRANBURY DRIVE
City TRUMBULL
State CT
Zip Code 06611

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Peter J Tinnesz Aprn 39 Cranbury Drive, Trumbull, CT 06611 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Antoinette D Senior 38 Tanager Lane, Trumbull, CT 06611 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City TRUMBULL
Zip Code 06611
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + TRUMBULL

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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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