ANN M PECHULIS (Credential# 949653) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
ANN M PECHULIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.004494. The credential type is advanced practice registered nurse. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 269 Captain Rd, Longmeadow, MA 01106-2549. The current status is active.
| Licensee Name | ANN M PECHULIS |
| Credential ID | 949653 |
| Credential Number | 12.004494 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
269 Captain Rd Longmeadow MA 01106-2549 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-21 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 652299 | 10.R52553 | Registered Nurse | 1996-04-12 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 968780 | CSP.0049055 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-25 | 2017-03-01 - 2019-02-28 | INACTIVE |
| 951845 | 10.095961-TEMP | Registered Nurse - Temporary | 2010-09-07 | 2010-09-07 - 2011-01-05 | INACTIVE |
| Street Address | 269 CAPTAIN RD |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-2549 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Terry L Conrad | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kristen Shoar | 56 Fountain Rd, Wales, MA 01081-9511 | Advanced Practice Registered Nurse | ~ |
| Joanna Mrozek | 270 Oak St, Manchester, CT 06040-5563 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Wayne R Alongi | 104 Inverrary Ct, Slidell, LA 70460-5131 | Advanced Practice Registered Nurse | ~ |
| Daniel M Hemrick | 709 Braddock Ave, Mountain Brk, AL 35213-2515 | Advanced Practice Registered Nurse | ~ |
| Lauren M Vo | 9 Cardinal Rd, Simsbury, CT 06070-1141 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Cheryl Conwell | 523 E 72nd St, New York, NY 10021-4099 | Advanced Practice Registered Nurse | ~ |
| Mary T Miller | 55 3rd St, Worcester, MA 01602-3421 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Christine Butler | 127 Camp Rd, Charlston, SC 29412 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on ANN M PECHULIS.
| 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).