SUSAN C WHITE
Advanced Practice Registered Nurse


Address: 17 Coppola Terrace, Derby, CT 06418

SUSAN C WHITE (Credential# 679369) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 9, 1997. The license expiration date date is May 31, 1998. The license status is INACTIVE.

Business Overview

SUSAN C WHITE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001189. The credential type is advanced practice registered nurse. The effective date is April 9, 1997. The expiration date is May 31, 1998. The business address is 17 Coppola Terrace, Derby, CT 06418. The current status is inactive.

Basic Information

Licensee Name SUSAN C WHITE
Credential ID 679369
Credential Number 12.001189
Credential Type Advanced Practice Registered Nurse
Business Address 17 Coppola Terrace
Derby
CT 06418
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-09-22
Effective Date 1997-04-09
Expiration Date 1998-05-31
Refresh Date 2009-07-08

Office Location

Street Address 17 COPPOLA TERRACE
City DERBY
State CT
Zip Code 06418

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Susan White Aprn 17 Coppola Terrace, Derby, CT 06418 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28

Licenses in the same zip code

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Debra A Montini 8 Academy Hill Ext, Derby, CT 06418 Dental Hygienist 2020-08-01 ~ 2021-07-31
Laura M Boanno 131 Marshall La, Derby, CT 06418 Registered Nurse 2020-07-01 ~ 2021-06-30
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Fan Geng Shoprite Shopping Center, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Danni Xu Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Yao Zhang Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Phillip N Burke 3 Camptown St, Derby, CT 06418 Emergency Medical Technician 2017-06-07 ~ 2020-06-30
Diane A Rosner 229 Shagbark Drive, Derby, CT 06418 Professional Counselor 2020-08-01 ~ 2021-07-31
Pamela C Lavelle 194 Minerva St, Derby, CT 06418 Registered Nurse 2020-08-01 ~ 2021-07-31
Grade A Market - Derby LLC 49 Pershing Dr, Derby, CT 06418 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06418

Competitor

Search similar business entities

City DERBY
Zip Code 06418
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + DERBY

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Dataset Information

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).

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