CARRIE C GOODRUM APRN
Advanced Practice Registered Nurse


Address: 10 Rose Lane Unit 14, Danbury, CT 06811

CARRIE C GOODRUM APRN (Credential# 680659) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2006. The license expiration date date is December 31, 2006. The license status is INACTIVE.

Business Overview

CARRIE C GOODRUM APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002481. The credential type is advanced practice registered nurse. The effective date is January 17, 2006. The expiration date is December 31, 2006. The business address is 10 Rose Lane Unit 14, Danbury, CT 06811. The current status is inactive.

Basic Information

Licensee Name CARRIE C GOODRUM APRN
Credential ID 680659
Credential Number 12.002481
Credential Type Advanced Practice Registered Nurse
Business Address 10 Rose Lane Unit 14
Danbury
CT 06811
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-04-05
Effective Date 2006-01-17
Expiration Date 2006-12-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
629894 10.E61002 Registered Nurse 1998-09-04 2006-01-17 - 2006-12-31 INACTIVE
311972 CSP.0032291 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE
863467 70.921362 Emergency Medical Technician 1992-06-01 - 1998-07-01 INACTIVE

Office Location

Street Address 10 ROSE LANE UNIT 14
City DANBURY
State CT
Zip Code 06811

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City DANBURY
Zip Code 06811
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + DANBURY

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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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