NICOLE LANGAN MACIEJAK (Credential# 681632) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
NICOLE LANGAN MACIEJAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003454. The credential type is advanced practice registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 245 Chestnut Hill Rd, Killingworth, CT 06419-1374. The current status is active.
| Licensee Name | NICOLE LANGAN MACIEJAK |
| Credential ID | 681632 |
| Credential Number | 12.003454 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
245 Chestnut Hill Rd Killingworth CT 06419-1374 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-08-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 579638 | 10.075635 | Registered Nurse | 2005-06-08 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 452403 | CSP.0040736 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 245 CHESTNUT HILL RD |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419-1374 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica L Gemmell | 253 Chestnut Hill Rd, Killingworth, CT 06419-1374 | Controlled Substance Registration for Practitioner | 2020-01-27 ~ 2021-02-28 |
| Matthew Rynkowski · Mlr Painting | 241 Chestnut Hill Rd, Killingworth, CT 06419-1374 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Anita S Uhlan | 253 Chestnut Hill Rd, Killingworth, CT 06419-1374 | Emergency Medical Technician | 2013-02-14 ~ 2016-01-01 |
| Michael J Uhlan | 253 Chestnut Hill Rd, Killingworth, CT 06419-1374 | Emergency Medical Technician | 2009-11-25 ~ 2011-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
| Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06419 | |||
| City | KILLINGWORTH |
| Zip Code | 06419 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + KILLINGWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole M Frost | Po Box 25, Poquonock, CT 06064 | Advanced Practice Registered Nurse | 2016-11-01 ~ 2017-10-31 |
| Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
| Nicole Adler | 11 Lexington Dr, Piscataway, NJ 08854-2826 | Advanced Practice Registered Nurse | 2013-09-05 ~ 2014-06-30 |
| Nicole Collatos | 720 E Main St, Mexia, TX 76667-3348 | Advanced Practice Registered Nurse | 2020-01-17 ~ 2020-11-30 |
| Nicole A Wagner | 66 Marcelle St, Chicopee, MA 01020-1125 | Advanced Practice Registered Nurse | 2017-10-17 ~ 2018-03-31 |
| Nicole Radi | 15 Woodbine Rd, Woodbridge, CT 06525 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nicole Pierre-noel | 8 Dixwell Rd, New City, NY 10956 | Advanced Practice Registered Nurse | ~ |
| Nicole L Veltri | 22 Seabreeze Ave, Milford, CT 06460 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Stephanie Nicole Gregory | 245 5th Ave, New York, NY 10016 | Advanced Practice Registered Nurse | 2020-05-27 ~ 2020-12-31 |
| Nicole M Holiday | 640 County Rd, Woodstock, CT 06281-1716 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
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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).