KENDALL PETTY APRN (Credential# 932778) 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.
KENDALL PETTY APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047665. 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 901 Dawn Ave, Shoreview, MN 55126-6403. The current status is inactive.
| Licensee Name | KENDALL PETTY APRN |
| Credential ID | 932778 |
| Credential Number | CSP.0047665 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
901 Dawn Ave Shoreview MN 55126-6403 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-07-23 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 932634 | 10.094139 | Registered Nurse | 2010-06-10 | 2011-07-01 - 2012-06-30 | INACTIVE |
| 932923 | 12.004384 | Advanced Practice Registered Nurse | 2010-06-10 | 2011-07-01 - 2012-06-30 | INACTIVE |
| 932636 | 10.093833-TEMP | Registered Nurse - Temporary | 2010-05-20 | 2010-05-20 - 2010-09-17 | INACTIVE |
| Street Address | 901 DAWN AVE |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-6403 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Advanced Respiratory Inc | 1020 West Country Rd F, Saint Paul, MN 55126 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Kyia Leigh Gordon | 1265 Silverthorn Drive, Shoreview, MN 55126 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Children's Shelter of Cebu · Philippine Children's Shelter | 3600 Lexington Ave. N, Shoreview, MN 55126 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Antea Usa Inc | 5910 Rice Creek Pkwy #100, Shoreview, MN 55126 | Professional Engineering Corporation | 2015-10-18 ~ 2016-10-17 |
| Lutheran Youth Encounter | 3490 Lexington Ave No #300, St. Paul, MN 55126 | Public Charity-exempt From Financial Requirements | ~ |
| Jeanne A Oplinger | 1970 Bluestem Lane, Shoreview, MN 55126 | Registered Nurse | 2006-07-24 ~ 2007-08-31 |
| Sunhan A Anderson | 4010 Crestview Lane, Shoreview, MN 55126 | Physical Therapist | 2007-01-08 ~ 2008-01-31 |
| Colleen M Gerlach · Denning | 1013 Robinhood Place, Shoreview, MN 55126 | Registered Nurse | 1999-03-26 ~ 2000-05-31 |
| Barbara A Qualley · Bendickson | 5788 Prairie Ridge D, Shoreview, MN 55126 | Registered Nurse | 2008-01-14 ~ 2008-12-31 |
| Land O'lakes International Development Fund · Heart-land International; Prosperity Worldwide | 4001 Lexington Ave N, Saint Paul, MN 55126 | Public Charity | 2020-04-23 ~ 2020-11-30 |
| Find all Licenses in zip 55126 | |||
| City | SHOREVIEW |
| Zip Code | 55126 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHOREVIEW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Muschiano Aprn | 71 Kendall Mountain Road, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Maria C Petty | 592 Maple Ave, Hartford, CT 06114 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kendall L Adams | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kendall Lyons | 14 Idar Ct Apt 2, Greenwich, CT 06830-6427 | Controlled Substance Registration for Practitioner | 2019-07-31 ~ 2021-02-28 |
| Andrew Ricci Jr | 71 Kendall Mountain, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| W Kendall Tongier Md | Day Kimball Hospital, Putnam, CT 06260-0901 | Controlled Substance Registration for Practitioner | 1993-10-12 ~ 1995-11-01 |
| Kendall Gregory Fancher | 205 Church St Apt 5p, New Haven, CT 06510-1896 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine L Shapter · Kendall | 38 Zoey Dr, Vernon Rockville, CT 06066-5723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kendall A Crutcher Md | Naval Health Clinic New England, Newport, RI 02841-1002 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on KENDALL PETTY 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).