DOUGLAS H PAYNE APRN (Credential# 915517) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
DOUGLAS H PAYNE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.004340. The credential type is advanced practice registered nurse. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 3360 S. Atlantic Ave, Cocoa Beach, FL 32931. The current status is active.
| Licensee Name | DOUGLAS H PAYNE APRN |
| Credential ID | 915517 |
| Credential Number | 12.004340 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
3360 S. Atlantic Ave Cocoa Beach FL 32931 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-03-08 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-08-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 915488 | 10.092864 | Registered Nurse | 2010-03-08 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 924565 | CSP.0047517 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-04-23 | 2017-03-01 - 2018-07-17 | INACTIVE |
| 915514 | 10.092610-TEMP | Registered Nurse - Temporary | 2010-02-17 | 2010-02-17 - 2010-06-17 | INACTIVE |
| Street Address | 3360 S. Atlantic Ave |
| City | Cocoa Beach |
| State | FL |
| Zip Code | 32931 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tadeusz W Rachwal Md | 200 St. Lucie Lane, Apt 310, Cocoa Beach, FL 32931 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ronald J Maurice | 121 Deleon Rd, Cocoa Beach, FL 32931 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Valerie D Zabavsky | 224 Bahama Blvd, Cocoa Beach, FL 32931 | Real Estate Salesperson | 2016-06-01 ~ 2017-05-31 |
| Kiana Kaymanesh | 1431 S. Atlantic Ave #403, Cocoa Beach, FL 32931 | Optometrist | 2020-04-01 ~ 2021-03-31 |
| Margaret M Genest | 850 North Atlantic Avenue D 202, Cocoa, FL 32931 | Notary Public Appointment | 2015-10-01 ~ 2020-09-30 |
| Michael R Sessa | 300 South Orlando Ave Apt 3, Cocoa Beach, FL 32931 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| John E Stenger | 4711 North Banana River Blvd, Cocoa Beach, FL 32931 | Heating, Piping & Cooling Limited Journeyperson | 2018-09-01 ~ 2019-08-31 |
| Karen W Ordway | 2 River Falls Drive, Cocoa Beach, FL 32931 | Dental Hygienist | 2018-06-01 ~ 2019-05-31 |
| Wendy B Ford | 5201 Oceanbeach Blvd, Cocoa Beach, FL 32931 | Hairdresser/cosmetician | 2017-01-01 ~ 2018-12-31 |
| Mary M Cartwright | 410 Hayes Ave, Cocoa Beach, FL 32931 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Find all Licenses in zip 32931 | |||
| City | Cocoa Beach |
| Zip Code | 32931 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Cocoa Beach |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Artee A Srivastava Aprn | 760 Mix Ave, Hamden, CT 06514 | Advanced Practice Registered Nurse | 1999-05-12 ~ 2000-06-30 |
| Carol Difazio Aprn | Po Box 812, Glastonbury, CT 06033 | Advanced Practice Registered Nurse | 2005-06-16 ~ 2006-08-31 |
| 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 |
| Jay M Seigel Aprn | 24 Channing St, New London, CT 06320 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kym E D'agostino Aprn | 43 Wedgewood Dr., Easton, CT 06612 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Kyuwon Yu Aprn | 24 Hospital Ave, Danbury, CT 06810-6077 | Advanced Practice Registered Nurse | 2007-05-07 ~ 2008-06-30 |
| Wendy Sergeant Aprn | Po Box 964, Sturbridge, MA 01566-2964 | Advanced Practice Registered Nurse | 2008-05-22 ~ 2009-05-31 |
| Holly Durstin Aprn | Po Box 208, Norfolk, CT 06058 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on DOUGLAS H PAYNE 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).