JACQUELINE K CANTOR APRN
Advanced Practice Registered Nurse


Address: 805 Farmington Ave Ste 2, West Hartford, CT 06119-1671

JACQUELINE K CANTOR APRN (Credential# 680089) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.

Business Overview

JACQUELINE K CANTOR APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001910. The credential type is advanced practice registered nurse. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 805 Farmington Ave Ste 2, West Hartford, CT 06119-1671. The current status is active.

Basic Information

Licensee Name JACQUELINE K CANTOR APRN
Credential ID 680089
Credential Number 12.001910
Credential Type Advanced Practice Registered Nurse
Business Address 805 Farmington Ave Ste 2
West Hartford
CT 06119-1671
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1998-09-04
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-24

Other licenses

ID Credential Code Credential Type Issue Term Status
621466 10.E52461 Registered Nurse 1989-08-24 2020-09-01 - 2021-08-31 ACTIVE
147565 CSP.0027472 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 805 FARMINGTON AVE STE 2
City WEST HARTFORD
State CT
Zip Code 06119-1671

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Competitor

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City WEST HARTFORD
Zip Code 06119
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + WEST HARTFORD

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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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