MAXINE COSTA APRN (Credential# 679042) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MAXINE COSTA APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000861. The credential type is advanced practice registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Woodland Womens Health Associates, Hartford, CT 06105. The current status is active.
| Licensee Name | MAXINE COSTA APRN |
| Credential ID | 679042 |
| Credential Number | 12.000861 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
Woodland Womens Health Associates Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-02-25 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 648672 | 10.R48924 | Registered Nurse | 1993-06-01 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 183269 | CSP.0025613 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | WOODLAND WOMENS HEALTH ASSOCIATES |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hope Larose | 86 La Costa Dr, Blackwood, NJ 08012-5536 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Artee A Srivastava Aprn | 760 Mix Ave, Hamden, CT 06514 | Advanced Practice Registered Nurse | 1999-05-12 ~ 2000-06-30 |
| Holly Durstin Aprn | Po Box 208, Norfolk, CT 06058 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kyuwon Yu Aprn | 24 Hospital Ave, Danbury, CT 06810-6077 | Advanced Practice Registered Nurse | 2007-05-07 ~ 2008-06-30 |
| Kym E D'agostino Aprn | 43 Wedgewood Dr., Easton, CT 06612 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Ann P Roselle Aprn | 48 Valley Rd, Bethany, CT 06524 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Jill V Tesei Aprn | 399 E Putnam Ave Ste 1, Cos Cob, CT 06807-2558 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Vanessa M Mix Aprn | 10 Salem Rd, Weston, CT 06883 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on MAXINE COSTA 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).