GLEN THOMAS PUGH APRN
Advanced Practice Registered Nurse


Address: 1051 North Street, Suffield, CT 06078

GLEN THOMAS PUGH APRN (Credential# 680013) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 7, 2003. The license expiration date date is May 31, 2004. The license status is INACTIVE.

Business Overview

GLEN THOMAS PUGH APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001834. The credential type is advanced practice registered nurse. The effective date is April 7, 2003. The expiration date is May 31, 2004. The business address is 1051 North Street, Suffield, CT 06078. The current status is inactive.

Basic Information

Licensee Name GLEN THOMAS PUGH APRN
Credential ID 680013
Credential Number 12.001834
Credential Type Advanced Practice Registered Nurse
Business Address 1051 North Street
Suffield
CT 06078
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-05-01
Effective Date 2003-04-07
Expiration Date 2004-05-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
646035 10.R45871 Registered Nurse 1990-05-01 2003-04-07 - 2004-05-31 INACTIVE
158860 CSP.0027230 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 1051 NORTH STREET
City SUFFIELD
State CT
Zip Code 06078

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Competitor

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City SUFFIELD
Zip Code 06078
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + SUFFIELD

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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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