LESLIE J BOYLAN APRN
Advanced Practice Registered Nurse


Address: 123 Santa Fe Ave, Hamden, CT 06517

LESLIE J BOYLAN APRN (Credential# 681799) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.

Business Overview

LESLIE J BOYLAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003621. The credential type is advanced practice registered nurse. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 123 Santa Fe Ave, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name LESLIE J BOYLAN APRN
Credential ID 681799
Credential Number 12.003621
Credential Type Advanced Practice Registered Nurse
Business Address 123 Santa Fe Ave
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-06-27
Effective Date 2015-01-01
Expiration Date 2015-12-31
Refresh Date 2016-04-04

Other licenses

ID Credential Code Credential Type Issue Term Status
586151 10.082149 Registered Nurse 2007-06-27 2015-01-01 - 2015-12-31 INACTIVE
484061 CSP.0042680 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-09-27 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 123 SANTA FE AVE
City HAMDEN
State CT
Zip Code 06517

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Stephen M Grossman 17 Greenway St, Hamden, CT 06517 Architect 2020-08-01 ~ 2021-07-31
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Judith M Rothstein 11 Dadio Road, Hamden, CT 06517 Licensed Alcohol and Drug Counselor 2020-04-01 ~ 2021-03-31
Keleann T Tamaki 165 Ridge Road, Hamden, CT 06517 Registered Nurse 2020-09-01 ~ 2021-08-31
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Michele R Abrams 114 Wakefield St, Hamden, CT 06517 Audiologist 2020-09-01 ~ 2021-08-31
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Competitor

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City HAMDEN
Zip Code 06517
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + HAMDEN

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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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