KELLY L HARGETT APRN
Advanced Practice Registered Nurse


Address: 907 Main St, Locke, NY 13092

KELLY L HARGETT APRN (Credential# 681019) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 16, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

KELLY L HARGETT APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002841. The credential type is advanced practice registered nurse. The effective date is January 16, 2004. The expiration date is February 28, 2005. The business address is 907 Main St, Locke, NY 13092. The current status is inactive.

Basic Information

Licensee Name KELLY L HARGETT APRN
Credential ID 681019
Credential Number 12.002841
Credential Type Advanced Practice Registered Nurse
Business Address 907 Main St
Locke
NY 13092
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-02-20
Effective Date 2004-01-16
Expiration Date 2005-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
574606 10.070599 Registered Nurse 2003-02-03 2004-01-16 - 2005-02-28 INACTIVE
336973 CSP.0033331 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-17 - 2004-02-28 INACTIVE

Office Location

Street Address 907 MAIN ST
City LOCKE
State NY
Zip Code 13092

Competitor

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City LOCKE
Zip Code 13092
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + LOCKE

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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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