ANITA L GORMAN (Credential# 678536) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.
ANITA L GORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000346. The credential type is advanced practice registered nurse. The effective date is July 1, 2016. The expiration date is June 30, 2017. The business address is 92 Fenwood Dr, Old Saybrook, CT 06475. The current status is inactive.
| Licensee Name | ANITA L GORMAN |
| Credential ID | 678536 |
| Credential Number | 12.000346 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
92 Fenwood Dr Old Saybrook CT 06475 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1991-05-14 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2017-06-30 |
| Refresh Date | 2017-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 608893 | 10.E37726 | Registered Nurse | 1975-09-10 | 2016-07-01 - 2017-06-30 | INACTIVE |
| Street Address | 92 FENWOOD DR |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anita Gorman Aprn | 92 Fenwood Dr, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + OLD SAYBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne M Kennedy | 2 Anita Dr, Southampton, MA 01073-9562 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Anita Salerno | 100 Bayberry Terr, Middlebury, CT 06762 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maggin Mathew | 49 Autumn Cir, Yonkers, NY 10703-1605 | Advanced Practice Registered Nurse | ~ |
| Karen Parkhurst | 65 Fox Run Dr, Southbury, CT 06488-2441 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Yan Chen | 326 Mountain Rd, Wilton, CT 06897-1532 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Marjorie A Arni | Po Box 682, Sharon, CT 06069 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Ricky G Ewell II | 177 9th Ave Apt 5d, New York, NY 10011-4974 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Francisco Laureano IIi | P.o. Box 234, Stratford, CT 06615 | Advanced Practice Registered Nurse | 2007-02-01 ~ 2008-02-29 |
| Jane E Neu | 671 Chaffeeville Rd, Storrs, CT 06268-2337 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANITA L GORMAN.
| 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).