RICKY G EWELL II
Advanced Practice Registered Nurse


Address: 177 9th Ave Apt 5d, New York, NY 10011-4974

RICKY G EWELL II (Credential# 682286) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

RICKY G EWELL II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.004108. The credential type is advanced practice registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 177 9th Ave Apt 5d, New York, NY 10011-4974. The current status is active.

Basic Information

Licensee Name RICKY G EWELL II
Credential ID 682286
Credential Number 12.004108
Credential Type Advanced Practice Registered Nurse
Business Address 177 9th Ave Apt 5d
New York
NY 10011-4974
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-06-24
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-02-14

Other licenses

ID Credential Code Credential Type Issue Term Status
584057 10.080055 Registered Nurse 2006-09-27 2020-05-01 - 2021-04-30 ACTIVE
986484 CSP.0049701 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-22 2019-03-01 - 2021-02-28 ACTIVE
537589 CSP.0045902 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-07-21 2009-07-21 - 2011-02-28 INACTIVE

Office Location

Street Address 177 9TH AVE APT 5D
City NEW YORK
State NY
Zip Code 10011-4974

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City NEW YORK
Zip Code 10011
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + NEW YORK

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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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