STACIE M HEINKE (Credential# 680581) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
STACIE M HEINKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002403. The credential type is advanced practice registered nurse. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 12 Overlook Dr, Old Saybrook, CT 06475-1234. The current status is active.
| Licensee Name | STACIE M HEINKE |
| Credential ID | 680581 |
| Credential Number | 12.002403 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
12 Overlook Dr Old Saybrook CT 06475-1234 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-11-01 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-10-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 656030 | 10.R56289 | Registered Nurse | 1999-01-08 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 261036 | CSP.0030468 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 12 OVERLOOK DR |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-1234 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison C Sweet | 12 Overlook Dr, Old Saybrook, CT 06475-1234 | Registered Nurse | 2011-09-01 ~ 2012-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon R Linder | 10 Overlook Dr, Old Saybrook, CT 06475-1234 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + OLD SAYBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Judith B Heinke | 41 Winterwood Rd, Southington, CT 06489 | Registered Nurse | 2013-04-01 ~ 2014-03-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Rosemary Kopec | P O Box 98, Foster, RI 02825 | Advanced Practice Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Angelica V. Hay | 85 Retreat Ave, Hartford, CT 06106-2555 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
| Kelsey N.m. Adams | 105 E St Ste 2b, Davis, CA 95616-4567 | Advanced Practice Registered Nurse | 2013-07-01 ~ 2014-06-30 |
| Mae Joy E Falk | 40 Nutmeg Ct, Middletown, CT 06457-2394 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Amy Jacobson | 14 Brimfield Way, Westfield, MA 01085-4383 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Yan Chen | 326 Mountain Rd, Wilton, CT 06897-1532 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Effiem Obasi | 143 Longwood Ave, Providence, RI 02908-1121 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on STACIE M HEINKE.
| 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).