KELLI J GROENEWEG APRN (Credential# 911197) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.
KELLI J GROENEWEG APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.093208. The credential type is registered nurse. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 14319 Eagle Ridge Trl, Piedmont, SD 57769-7219. The current status is inactive.
| Licensee Name | KELLI J GROENEWEG APRN |
| Credential ID | 911197 |
| Credential Number | 10.093208 |
| Credential Type | Registered Nurse |
| Business Address |
14319 Eagle Ridge Trl Piedmont SD 57769-7219 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-03-31 |
| Effective Date | 2012-07-01 |
| Expiration Date | 2013-06-30 |
| Refresh Date | 2013-10-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 911199 | 12.004354 | Advanced Practice Registered Nurse | 2010-03-31 | 2012-07-01 - 2013-06-30 | INACTIVE |
| 910791 | CSP.0047163 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-04-15 | 2011-03-01 - 2013-02-28 | INACTIVE |
| 1065978 | CSP.0052265 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE | |
| 1065977 | CSW.0002786 | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES | - | PENDING |
| Street Address | 14319 EAGLE RIDGE TRL |
| City | PIEDMONT |
| State | SD |
| Zip Code | 57769-7219 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel W Groeneweg Aprn | 14319 Eagle Ridge Trl, Piedmont, SD 57769-7219 | Advanced Practice Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally C Mercier | 11642 Crooked Oaks Court, Piedmont, SD 57769 | Registered Nurse | 2005-06-23 ~ 2006-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Asif Anwar | 15 Littlewood Dr, Piedmont, CA 94611-3540 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Drivetime, Inc. | 110 Woodland Way, Piedmont, CA 94611-3840 | Securities - Exemptions | 2020-02-10 ~ |
| Eric A Mencken | 7 Carversham Row, Piedmont, SC 29673 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Amanda Hester Burcham | 2445 Cove Road, Piedmont, AL 36272 | Registered Nurse | 2020-01-02 ~ 2021-01-31 |
| Glenn M Boyce | 77 Manor Dr, Piedmont, CA 94611-4143 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Tlalliaztlan E Moya-smith | 379 Moraga Ave, Piedmont, CA 94611-3927 | Emergency Medical Technician | ~ |
| Shauntavia Mccullough | 4 Laws Ln, Piedmont, SC 29673-8178 | Registered Nurse | 2018-07-01 ~ 2019-06-30 |
| Kimberly Dawn Davidson | 321 Washington Avenue, Piedmont, OK 73078-8901 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Simone C Hyman | 69 Olive Ave, Piedmont, CA 94611-4427 | Emergency Medical Technician | ~ |
| William R Lenker Jr | 206 Monroe Drive, Piedmont, SC 29673 | Professional Engineer | 2012-04-29 ~ 2013-01-31 |
| Find all Licenses in PIEDMONT | |||
| City | PIEDMONT |
| Zip Code | 57769 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + PIEDMONT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel W Groeneweg Aprn | 14319 Eagle Ridge Trl, Piedmont, SD 57769-7219 | Advanced Practice Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Kelli Ann Kuntz | 524 S 2nd Ave, Danville, IA 52623 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kathi Kelli | 316 Clark St, Wyandotte, MI 48192-3711 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Kelli A Jusinski | 90 Upland Rd, Levittown, PA 19056-2628 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Kelli M Russell | 145 West Rd, Salem, CT 06420-3503 | Registered Nurse | 2013-12-01 ~ 2014-11-30 |
| Kelli L Walsh | 12 Weymouth Dr, Enfield, CT 06082-6002 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kelli J Dunn | 176 Ridgeley Ave., Fairfield, CT 06825 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Kelli Poe · Lavigne | 96 Gloucester Ct, Newington, CT 06111 | Registered Nurse | 2006-04-17 ~ 2007-04-30 |
| Kelli J Eno | 90 Wauregan Road, Brooklyn, CT 06234 | Registered Nurse | 2009-06-01 ~ 2010-07-31 |
| Kelli L Bass | 710 Ferguson Rd, La Vernia, TX 78121-4412 | Registered Nurse | 2016-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on KELLI J GROENEWEG 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).