JOHN M ESCHENBAUM APRN (Credential# 899732) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
JOHN M ESCHENBAUM APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046848. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 501 S Monroe St # 292, Winner, SD 57580-1704. The current status is inactive.
| Licensee Name | JOHN M ESCHENBAUM APRN |
| Credential ID | 899732 |
| Credential Number | CSP.0046848 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
501 S Monroe St # 292 Winner SD 57580-1704 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-10-20 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 894589 | 12.004213 | Advanced Practice Registered Nurse | 2009-09-29 | 2010-09-01 - 2011-08-31 | INACTIVE |
| 894265 | 10.091015 | Registered Nurse | 2009-09-29 | 2010-09-01 - 2011-08-31 | INACTIVE |
| 894285 | 10.090653-TEMP | Registered Nurse - Temporary | 2009-09-02 | 2009-09-02 - 2009-12-31 | INACTIVE |
| Street Address | 501 S MONROE ST # 292 |
| City | WINNER |
| State | SD |
| Zip Code | 57580-1704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Britt M Zink · Peterson | P O Box 541, Winner, SD 57580 | Physical Therapist | ~ 1998-01-31 |
| City | WINNER |
| Zip Code | 57580 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINNER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John D Sexton Aprn | 35 High St, Sharpsburg, GA 30277-1509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John R Leopold Aprn | 22 Taylor St, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Darlene A Kupinski Aprn | 21 John St, Newport, RI 02840 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| John J Orazietti Aprn | 100 Cutspring Cir, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian John O'neill Aprn | 2 Glen St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John S Hayes Aprn | 57 Cesca Lane, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John H Clark Aprn | 5049 Avocet Ln, Pensacola, FL 32514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| John Gurka Aprn | 13-d Byrne Court, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| John M Lujanac Aprn | 107 Church Hill Rd Ste 2a, Sandy Hook, CT 06482-1194 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa Stern Aprn | 324 Saint John St Unit 1, New Haven, CT 06511-4913 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on JOHN M ESCHENBAUM APRN.
| 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).