MARLENE D FORD APRN (Credential# 680836) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2006. The license expiration date date is May 31, 2007. The license status is INACTIVE.
MARLENE D FORD APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002658. The credential type is advanced practice registered nurse. The effective date is March 20, 2006. The expiration date is May 31, 2007. The business address is 6030 Mission Trail Apt 2, Granger, IN 46530. The current status is inactive.
| Licensee Name | MARLENE D FORD APRN |
| Credential ID | 680836 |
| Credential Number | 12.002658 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
6030 Mission Trail Apt 2 Granger IN 46530 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-01-30 |
| Effective Date | 2006-03-20 |
| Expiration Date | 2007-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 656186 | 10.R56445 | Registered Nurse | 1999-02-19 | 2006-03-20 - 2007-05-31 | INACTIVE |
| 303230 | CSP.0031843 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 6030 MISSION TRAIL APT 2 |
| City | GRANGER |
| State | IN |
| Zip Code | 46530 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Teresa Marie Kucharski | 14426 Farmgate Drive, Granger, IN 46530 | Registered Nurse | ~ |
| Franch Mabelle S Serna | 51953 Trenton Woods Dr, Granger, IN 46530 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Kenneth R Weston | 16576 Bandon Lane, Granger, IN 46530 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Michael Baker IIi | 51573 Hendon Hall Ct, Granger, IN 46530 | Professional Engineer | 1987-03-12 ~ 1988-01-31 |
| Daniel L. Phillips | 15715 Cedar Cove Drive, Granger, IN 46530 | Certified Public Accountant License | 2004-01-01 ~ 2004-12-31 |
| John W Klawitter | 50778 Elk Trail, Granger, IN 46530 | Physical Therapist | 1995-07-21 ~ 1996-07-31 |
| Kenneth P Anderson Jr | 11034 Birch Lake, Granger, IN 46530 | Physician/surgeon | 2001-06-11 ~ 2002-06-30 |
| Joan M Gruner | 50689 Woodbury Way, Granger, IN 46530 | Registered Nurse | 1994-10-11 ~ 1995-11-30 |
| Edwin Hill | 16287 Barryknoll Way, Granger, IN 46530 | Nursing Home Administrator | 2002-06-06 ~ 2003-06-30 |
| Ann T Mccoy | 51800 Waterford Green Drt, Granger, IN 46530 | Dental Hygienist | 2006-03-29 ~ 2006-12-31 |
| Find all Licenses in zip 46530 | |||
| City | GRANGER |
| Zip Code | 46530 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + GRANGER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| D'layna Marlene Brening | 5941 Queens Dr, Lincoln, NE 68516 | Advanced Practice Registered Nurse | ~ |
| Miriam Ford | 410 Whalley Ave, New Haven, CT 06511-3010 | Advanced Practice Registered Nurse | 1995-02-14 ~ 1995-12-31 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Joanne K Coleman | 3825 Reas Ford Lane, Earlysville, VA 22973 | Advanced Practice Registered Nurse | 1999-02-16 ~ 2000-03-31 |
| Emily Jean Ford | 5321 Lake Siena Dr, Wimauma, FL 33598-4440 | Advanced Practice Registered Nurse | 2020-04-24 ~ 2020-12-31 |
| 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 |
| Kym E D'agostino Aprn | 43 Wedgewood Dr., Easton, CT 06612 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Jennifer Moriarty Aprn | Po Box 343, Weatogue, CT 06089-0343 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kyuwon Yu Aprn | 24 Hospital Ave, Danbury, CT 06810-6077 | Advanced Practice Registered Nurse | 2007-05-07 ~ 2008-06-30 |
| Patricia L O'neil Aprn | Po Box 272, Amenia, NY 12501 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on MARLENE D FORD APRN.
| 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).