THOMAS S LONG APRN
Registered Nurse


Address: 34 Legendary Rd, East Lyme, CT 06333

THOMAS S LONG APRN (Credential# 926355) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

THOMAS S LONG APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.093966. The credential type is registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 34 Legendary Rd, East Lyme, CT 06333. The current status is active.

Basic Information

Licensee Name THOMAS S LONG APRN
Credential ID 926355
Credential Number 10.093966
Credential Type Registered Nurse
Business Address 34 Legendary Rd
East Lyme
CT 06333
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-06-01
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-19

Other licenses

ID Credential Code Credential Type Issue Term Status
926417 12.004437 Advanced Practice Registered Nurse 2010-08-10 2020-07-01 - 2021-06-30 ACTIVE
926939 CSP.0047592 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-08-12 2019-03-01 - 2021-02-28 ACTIVE
926356 10.093544-TEMP Registered Nurse - Temporary 2010-04-27 2010-04-27 - 2010-08-25 INACTIVE

Office Location

Street Address 34 Legendary Rd
City East Lyme
State CT
Zip Code 06333

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Brittany Pearson 6201 Maple Tree Lane, East Lyme, CT 06333 Behavior Analyst ~
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Sandeep B Varma 30 Plum Hill Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Peter J Famiglietti Md 339 Flanders Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Beth A Stoddard 8 Greentree Drive, East Lyme, CT 06333 Registered Nurse 2020-07-01 ~ 2021-06-30
Scott's Yankee Farmer 291 N Bride Brook Rd, East Lyme, CT 06333 Apple Juice & Cider Manufacturer 2020-07-01 ~ 2021-06-30
Katherine E Whalen 339 Flanders Rd Ste 109, East Lyme, CT 06333 Physician/surgeon 2020-08-01 ~ 2021-07-31
May L Diep 88 Arbor Crossing, East Lyme, CT 06333 Nail Technician ~
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Competitor

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City East Lyme
Zip Code 06333
License Type Registered Nurse
License Type + County Registered Nurse + East Lyme

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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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