THEODORA D BURTON APRN
Advanced Practice Registered Nurse


Address: 309 Bennetts Farm Rd, Ridgefield, CT 06877

THEODORA D BURTON APRN (Credential# 679467) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2013. The license expiration date date is June 30, 2014. The license status is INACTIVE.

Business Overview

THEODORA D BURTON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001287. The credential type is advanced practice registered nurse. The effective date is July 1, 2013. The expiration date is June 30, 2014. The business address is 309 Bennetts Farm Rd, Ridgefield, CT 06877. The current status is inactive.

Basic Information

Licensee Name THEODORA D BURTON APRN
Credential ID 679467
Credential Number 12.001287
Credential Type Advanced Practice Registered Nurse
Business Address 309 Bennetts Farm Rd
Ridgefield
CT 06877
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-03-15
Effective Date 2013-07-01
Expiration Date 2014-06-30
Refresh Date 2014-10-10

Other licenses

ID Credential Code Credential Type Issue Term Status
636734 10.R27902 Registered Nurse 1975-11-14 2013-07-01 - 2014-06-30 INACTIVE
315525 CSP.0032327 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE
749869 27.000396 Marital and Family Therapist 1990-05-15 2010-07-01 - 2011-06-30 INACTIVE

Office Location

Street Address 309 BENNETTS FARM RD
City RIDGEFIELD
State CT
Zip Code 06877

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Competitor

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City RIDGEFIELD
Zip Code 06877
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + RIDGEFIELD

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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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