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.
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.
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 |
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 |
Street Address | 10 ROSE LANE UNIT 14 |
City | DANBURY |
State | CT |
Zip Code | 06811 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brenda A Horberg | 3 Lily Drive, Danbury, CT 06811 | Real Estate Salesperson | ~ |
Viviannes Middle Eastern Food | 36 Tamarack Ave, Danbury, CT 06811 | Bakery | 2020-07-01 ~ 2021-06-30 |
Elizabeth Kahn | 20 East Pembroke Rd, Danbury, CT 06811 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Marcia L Oliveira | 6 Seminole Drive, Danbury, CT 06811 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dorothy O Roberts Dds | 8 Tom Thumb Lane, Danbury, CT 06811 | Dentist | 2020-09-01 ~ 2021-08-31 |
Jennifer Rose Petronella | 68 Mill Plain Road, Danbury, CT 06811 | Tattoo Technician | ~ |
Yuanmei Lu | 90 Hillandale Road, Danbury, CT 06811 | Real Estate Salesperson | ~ |
Property Pros LLC | 83 Bear Mountain Rd, Danbury, CT 06811 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
Michael J Mazzucco | 19 A Ta'agan Point Rd, Danbury, CT 06811 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
Yanping Jiang | 5 Padanaram, Danbury, CT 06811 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06811 |
City | DANBURY |
Zip Code | 06811 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + DANBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carrie A Cuomo | 23 Nicole Road, Branford, CT 06405 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
Salvatore Tresca Aprn | Johnston, RI 02919 | Advanced Practice Registered Nurse | 2018-04-01 ~ 2019-03-31 |
Wendy Sergeant Aprn | Po Box 964, Sturbridge, MA 01566-2964 | Advanced Practice Registered Nurse | 2008-05-22 ~ 2009-05-31 |
Jay M Seigel Aprn | 24 Channing St, New London, CT 06320 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Artee A Srivastava Aprn | 760 Mix Ave, Hamden, CT 06514 | Advanced Practice Registered Nurse | 1999-05-12 ~ 2000-06-30 |
Kym E D'agostino Aprn | 43 Wedgewood Dr., Easton, CT 06612 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Ann P Roselle Aprn | 48 Valley Rd, Bethany, CT 06524 | 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).