TYLER B SHEPARD APRN (Credential# 682137) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2017. The license expiration date date is January 31, 2018. The license status is INACTIVE.
TYLER B SHEPARD APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003959. The credential type is advanced practice registered nurse. The effective date is February 1, 2017. The expiration date is January 31, 2018. The business address is 1044 Se 6th Ct, Dania Beach, FL 33004. The current status is inactive.
Licensee Name | TYLER B SHEPARD APRN |
Credential ID | 682137 |
Credential Number | 12.003959 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
1044 Se 6th Ct Dania Beach FL 33004 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-11-07 |
Effective Date | 2017-02-01 |
Expiration Date | 2018-01-31 |
Refresh Date | 2018-05-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
591252 | 10.087250 | Registered Nurse | 2008-11-07 | 2017-02-01 - 2018-01-31 | INACTIVE |
519736 | CSP.0044868 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-11-28 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 1044 SE 6th CT |
City | DANIA BEACH |
State | FL |
Zip Code | 33004 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dania Discount Drugs | 16-18 South Federal Hightway, Dania, FL 33004 | Nonresident Pharmacy | 2020-01-27 ~ 2020-08-31 |
Edwin Mckerchar Gray | C/o Edgray Usa, Dania Beach, FL 33004 | Real Estate Broker | 2013-04-01 ~ 2014-03-31 |
Kathleen G Mcdonald | 361 E Sheridan Street, Dania Beach, FL 33004 | Licensed Practical Nurse | 2004-11-15 ~ 2009-08-31 |
Veronica G Sheehy | 1125 Se 6th Ave, Dania Beach, FL 33004 | Registered Nurse | 2007-08-27 ~ 2008-10-31 |
Veronica R Maresca | 215 Sw 2nd Place, Dania, FL 33004 | Hairdresser/cosmetician | 1994-07-29 ~ 1995-07-31 |
Cathryn R Brennan | 85 Gulfstream Rd, Dania Beach, FL 33004 | Registered Nurse | 2007-11-19 ~ 2008-08-31 |
Charlene V Meneses | 500 Ne 2nd Street, Dania, FL 33004 | Dental Hygienist | 1993-01-25 ~ 1993-09-30 |
Rita C Martin | 1024 Se 5th Ave 304, Dania, FL 33004 | Hairdresser/cosmetician | 1992-12-22 ~ 1993-09-30 |
Michael V. Galasyn | 330 Southeast 3rd Place, Dania Beach, FL 33004 | Pharmacist | 1999-02-01 ~ 2000-01-31 |
Chewy Inc | 1855 Griffin Rd, Dania, FL 33004-2200 | Commercial Feed | 2019-12-30 ~ 2020-12-31 |
Find all Licenses in zip 33004 |
City | DANIA BEACH |
Zip Code | 33004 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + DANIA BEACH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren C Danis | 26 Shepard Ave, New Haven, CT 06512 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Gustavo D Herrera-brito | 2224 Shepard Ave, Hamden, CT 06518-1848 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
Wendy Sergeant Aprn | Po Box 964, Sturbridge, MA 01566-2964 | Advanced Practice Registered Nurse | 2008-05-22 ~ 2009-05-31 |
Kyuwon Yu Aprn | 24 Hospital Ave, Danbury, CT 06810-6077 | Advanced Practice Registered Nurse | 2007-05-07 ~ 2008-06-30 |
Sharon B Gallipeau Aprn | Po Box 914, Newport, RI 02840 | Advanced Practice Registered Nurse | 2019-04-01 ~ 2020-03-31 |
Salvatore Tresca Aprn | Johnston, RI 02919 | Advanced Practice Registered Nurse | 2018-04-01 ~ 2019-03-31 |
Ann P Roselle Aprn | 48 Valley Rd, Bethany, CT 06524 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
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 |
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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).