SHELLY E COZINE APRN (Credential# 935442) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
SHELLY E COZINE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047773. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 3 Iris Way, Berlin, CT 06037. The current status is inactive.
| Licensee Name | SHELLY E COZINE APRN |
| Credential ID | 935442 |
| Credential Number | CSP.0047773 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Iris Way Berlin CT 06037 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-07-12 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 935009 | 10.094554 | Registered Nurse | 2010-07-01 | 2015-08-01 - 2016-07-31 | INACTIVE |
| 935713 | 12.004389 | Advanced Practice Registered Nurse | 2010-07-01 | 2015-08-01 - 2016-07-31 | INACTIVE |
| 935013 | 10.094055-TEMP | Registered Nurse - Temporary | 2010-06-07 | 2010-06-07 - 2010-10-05 | INACTIVE |
| 935437 | CSP.0047772 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | PENDING |
| Street Address | 3 Iris Way |
| City | Berlin |
| State | CT |
| Zip Code | 06037 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary K Cozine Aprn | 3 Iris Way, Berlin, CT 06037-5000 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolanta Wilinski-pelech | 163 Hillside Rd, Berlin, CT 06037 | Esthetician | ~ |
| Susann A Pavano | 67 Hickory Hill Rd, Kensington, CT 06037 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marco A Giannone | 101 Grapevine Lane, Berlin, CT 06037 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Linda A Giove | 48 Winding Meadow D, Kensington, CT 06037 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Kevin P Gallagher | 206 Fairview Dr, Berlin, CT 06037 | Embalmer | 2020-07-01 ~ 2021-06-30 |
| Stephanie M Sadlowski | 28 Cynthia Drive, Kensington, CT 06037 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Violet Pastorkova-jaouen | 959 Four Rod Road, Berlin, CT 06037 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Constantine S Buonanno Dmd | 1105 Farmington Ave, Kensington, CT 06037 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Lisa Divalentino | 23 Garden Drive, Kensington, CT 06037 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| William Dornfried | 240 Kensington Road, Berlin, CT 06037 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06037 | |||
| City | Berlin |
| Zip Code | 06037 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Berlin |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary K Cozine Aprn | 3 Iris Way, Berlin, CT 06037-5000 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Shelly T Lee Md | 6336 N Oracle 326-325, Tucson, AZ 85704 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Amir M Wassif | 27 Shelly Ct, Plainview, NY 11803-5309 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shelly-ann Brown Pa | 77 Webb Ave Apt 6, Stamford, CT 06902-4432 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Shelly A Miller | 6 Glendale Avenue, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 1994-12-19 ~ 1996-02-28 |
| Shelly-ann B Kelly | 540 Litchfield Street, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelly D Sedberry | 33 Cedar Ave, North Haven, CT 06473-3733 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shelly Rivas | 9716 103rd St, Ozone Park, NY 11416-2627 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 SHELLY E COZINE 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).