MARY PETERSON APRN (Credential# 678848) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MARY PETERSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000666. The credential type is advanced practice registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 6 Riverside Drive, Wallingford, CT 06492. The current status is active.
| Licensee Name | MARY PETERSON APRN |
| Credential ID | 678848 |
| Credential Number | 12.000666 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
6 Riverside Drive Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-11-02 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 615487 | 10.E45746 | Registered Nurse | 1983-09-12 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 185205 | CSP.0025858 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 6 RIVERSIDE DRIVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary T Paquette Aprn | 219 Prospect St, Ludlow, MA 01056 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mary Pat Murphy Aprn | 48 Sharon St, San Francisco, CA 94114 | Advanced Practice Registered Nurse | 2006-06-14 ~ 2007-07-31 |
| Mary A Helming Aprn | 313 Sir Walter Dr, Cheshire, CT 06410-2905 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Mary Elizabeth Colageo Aprn | Rfd 2, Manson, MA 01057 | Advanced Practice Registered Nurse | 2001-04-10 ~ 2002-05-31 |
| Mary Alice A Rossini Aprn | Po Box 323, Moodus, CT 06469-0323 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Mary M Bradley Aprn | 5 Cherry Lane, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2008-02-25 ~ 2009-02-28 |
| Mary K Gleason Aprn | 2480 Post Rd, Southport, CT 06890 | Advanced Practice Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| Mary E Kohler Aprn | 10 Bellaire Manor, Cromwell, CT 06416-2105 | Advanced Practice Registered Nurse | 2006-11-24 ~ 2007-11-30 |
| Mary M Rush Aprn | 130 Pheasant Lane, Fairfield, CT 06824 | Advanced Practice Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Mary Brennan Aprn | 261 Oliver Road, Lebanon, CT 06249 | Advanced Practice Registered Nurse | 2007-04-09 ~ 2008-04-30 |
Please comment or provide details below to improve the information on MARY PETERSON 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).