IVY M ALEXANDER APRN (Credential# 678812) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
IVY M ALEXANDER APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000630. The credential type is advanced practice registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 114 Blueberry Hill Reserve, Killingworth, CT 06419. The current status is active.
| Licensee Name | IVY M ALEXANDER APRN |
| Credential ID | 678812 |
| Credential Number | 12.000630 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
114 Blueberry Hill Reserve Killingworth CT 06419 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-09-03 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 647808 | 10.R48055 | Registered Nurse | 1992-07-01 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 160938 | CSP.0020577 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 114 BLUEBERRY HILL RESERVE |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
| Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06419 | |||
| City | KILLINGWORTH |
| Zip Code | 06419 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + KILLINGWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Jennifer Moriarty Aprn | Po Box 343, Weatogue, CT 06089-0343 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Carol Difazio Aprn | Po Box 812, Glastonbury, CT 06033 | Advanced Practice Registered Nurse | 2005-06-16 ~ 2006-08-31 |
| Wendy Sergeant Aprn | Po Box 964, Sturbridge, MA 01566-2964 | Advanced Practice Registered Nurse | 2008-05-22 ~ 2009-05-31 |
| Barbara E Lakatos Aprn | 184 Elm St, Marshfield, MA 02050-4444 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Ann P Roselle Aprn | 48 Valley Rd, Bethany, CT 06524 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Vanessa M Mix Aprn | 10 Salem Rd, Weston, CT 06883 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Sharon B Gallipeau Aprn | Po Box 914, Newport, RI 02840 | Advanced Practice Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Jay M Seigel Aprn | 24 Channing St, New London, CT 06320 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on IVY M ALEXANDER APRN.
| 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).