MADELINE REVERE (Credential# 678433) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is RETIRED.
MADELINE REVERE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000241. The credential type is advanced practice registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 3 Sabbaday Lane, Washington, CT 06793. The current status is retired.
Licensee Name | MADELINE REVERE |
Credential ID | 678433 |
Credential Number | 12.000241 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
3 Sabbaday Lane Washington CT 06793 |
Business Type | INDIVIDUAL |
Status | RETIRED - RETIRED FROM PROFESSION |
Active | 1 |
Issue Date | 1991-03-12 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-06-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
605625 | 10.E33391 | Registered Nurse | 1971-09-09 | 2020-04-01 - 2021-03-31 | ACTIVE |
164030 | CSP.0021333 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 3 SABBADAY LANE |
City | WASHINGTON |
State | CT |
Zip Code | 06793 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William W Worcester | Po Box 1103, Washington, CT 06793 | Architect | 2020-08-01 ~ 2021-07-31 |
Grace M Franjola | 60 Wykeham Rd, Washington, CT 06793 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Nathalie G Gaggini | 213 Roxbury Road, Washington, CT 06793 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mary B Early | 52 Carmel Hill Rd., Washington, CT 06793 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Katherine Griffin Pope Sheikh | 68 Painter Ridge Road, Washington, CT 06793 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Elizabeth A Mckee | 150 South Street, Washington, CT 06793 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Laura L Kohley | 81 Sabbaday Lane, Washington, CT 06793 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Alan M Rosa | 52 Shearer Rd, Washington, CT 06793 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Wendy S Westcott | 96 Roxbury Road, Washington, CT 06793 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Martha P Fairbairn | P.o. Box 1018, Washington, CT 06793 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06793 |
City | WASHINGTON |
Zip Code | 06793 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + WASHINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tammy A Marquis · Pennell | 24 Revere Rd, Washington, CT 06793-1007 | Advanced Practice Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Beth E Landis | 2309 Revere Drive, Goshen, IN 46526 | Advanced Practice Registered Nurse | 2003-05-02 ~ 2004-05-31 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kathleen Dibiase | 26 Independence Way, Titusville, NJ 08560 | Advanced Practice Registered Nurse | ~ |
Michelle O Itidiare | 255 Baltusrol Way, Springfield, NJ 07081-2107 | Advanced Practice Registered Nurse | ~ |
Nancy F Parker | Rfd 2 Box 310, Springfield, VT 05156 | Advanced Practice Registered Nurse | 1995-03-24 ~ 1996-03-31 |
Peggy A Ashley | Po Box 2415, Cornelius, NC 28031-2415 | Advanced Practice Registered Nurse | ~ |
Nicole M Frost | Po Box 25, Poquonock, CT 06064 | Advanced Practice Registered Nurse | 2016-11-01 ~ 2017-10-31 |
Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
Gordon P Kempe | Po Box 277, Sanbornton, NH 03269 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-06-30 |
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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).