GLORIA PEDRICK APRN (Credential# 679602) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 26, 1999. The license expiration date date is June 30, 2000. The license status is INACTIVE.
GLORIA PEDRICK APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001422. The credential type is advanced practice registered nurse. The effective date is April 26, 1999. The expiration date is June 30, 2000. The business address is 1 Wahoo Ave, Groton, CT 06340. The current status is inactive.
| Licensee Name | GLORIA PEDRICK APRN |
| Credential ID | 679602 |
| Credential Number | 12.001422 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
1 Wahoo Ave Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-09-20 |
| Effective Date | 1999-04-26 |
| Expiration Date | 2000-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 46223 | CSP.0025184 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 1 WAHOO AVE |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Arthur Boller | 1 Wahoo Ave, Groton, CT 06349-2324 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christina E Toufexis | 1 Wahoo Ave, Groton, CT 06349-2324 | Physician/surgeon | ~ 2018-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gloria G Polleys | 21 Ivy Lane, Windsor, CT 06095 | Advanced Practice Registered Nurse | 1999-08-25 ~ 2009-08-31 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Gloria G Hildreth | 219 North Maple St, Enfield, CT 06082 | Advanced Practice Registered Nurse | 2004-04-21 ~ 2005-06-30 |
| Sharon B Gallipeau Aprn | Po Box 914, Newport, RI 02840 | Advanced Practice Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Carol Difazio Aprn | Po Box 812, Glastonbury, CT 06033 | Advanced Practice Registered Nurse | 2005-06-16 ~ 2006-08-31 |
| Artee A Srivastava Aprn | 760 Mix Ave, Hamden, CT 06514 | Advanced Practice Registered Nurse | 1999-05-12 ~ 2000-06-30 |
| Salvatore Tresca Aprn | Johnston, RI 02919 | Advanced Practice Registered Nurse | 2018-04-01 ~ 2019-03-31 |
| Ann P Roselle Aprn | 48 Valley Rd, Bethany, CT 06524 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| 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 GLORIA PEDRICK 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).