CARROLLYN E GRACE APRN (Credential# 680211) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 20, 2000. The license expiration date date is May 31, 2001. The license status is INACTIVE.
CARROLLYN E GRACE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002033. The credential type is advanced practice registered nurse. The effective date is April 20, 2000. The expiration date is May 31, 2001. The business address is 2 Burr's Lane, Providence, RI 02904. The current status is inactive.
Licensee Name | CARROLLYN E GRACE APRN |
Credential ID | 680211 |
Credential Number | 12.002033 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
2 Burr's Lane Providence RI 02904 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1999-03-12 |
Effective Date | 2000-04-20 |
Expiration Date | 2001-05-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
602989 | 10.E29559 | Registered Nurse | 1966-09-02 | 2000-04-20 - 2001-05-31 | INACTIVE |
217117 | CSP.0028532 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-09-19 - 2001-02-28 | INACTIVE |
Street Address | 2 BURR'S LANE |
City | PROVIDENCE |
State | RI |
Zip Code | 02904 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric N Zuena | 2 Charles Street, Providence, RI 02904 | Architect | 2020-08-01 ~ 2021-07-31 |
Michal Marcin Szpara | 630 Smithfield Rd Unit 316, North Providence, RI 02904 | Podiatrist | 2020-06-01 ~ 2021-05-31 |
Peter E Cardin | 50 Thurber St., North Providence, RI 02904 | Casino Class I Employee | 2020-02-26 ~ 2020-10-31 |
Stephen Mcgill | 45 Anderton Ave., North Providence, RI 02904 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Jabriel J Abdullah | 24 Vaughan Street, Providence, RI 02904 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Robert J De Mattio Jr. | 111a Turnessa Green, North Providence, RI 02904 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
R P Z Realty Inc | 1417 Douglas Ave, North Providence, RI 02904 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Elizabeth Marie Staley | 13 Ternay Gdns, Providence, RI 02904 | Registered Nurse | ~ |
Tasha D Hendricks | 25 Benedict Street, North Providence, RI 02904 | Registered Nurse | ~ |
Kenneth Conte | 9 Carriage Way, N Providence, RI 02904 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 02904 |
City | PROVIDENCE |
Zip Code | 02904 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + PROVIDENCE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Grace M Briccetti Aprn | 11 Howe St, So Salem, NY 10590 | Advanced Practice Registered Nurse | 2019-04-01 ~ 2020-03-31 |
Ellen K Grace Aprn | 1 Strawberry Hill Ave Apt 2a, Stamford, CT 06902-2628 | Advanced Practice Registered Nurse | 2017-08-01 ~ 2018-07-31 |
Grace E Hiner Aprn | 181 Pearsall Drive, Mt Vernon, NY 10552 | Advanced Practice Registered Nurse | 2003-03-10 ~ 2004-04-30 |
Grace M Carver | 7 Dwight St Apt 4, Boston, MA 02118-3654 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
Grace L Kelley Crna | 374 Litchfield St, Thomaston, CT 06787-1430 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Jay M Seigel Aprn | 24 Channing St, New London, CT 06320 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Jennifer Moriarty Aprn | Po Box 343, Weatogue, CT 06089-0343 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Jill V Tesei Aprn | 399 E Putnam Ave Ste 1, Cos Cob, CT 06807-2558 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
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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).