MICHELLE L JACKSON APRN (Credential# 971465) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 22, 2010. The license expiration date date is February 28, 2013. The license status is INACTIVE.
MICHELLE L JACKSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049174. The credential type is controlled substance registration for practitioner. The effective date is October 22, 2010. The expiration date is February 28, 2013. The business address is 45 Evergreene, Wallingford, CT 06492-2975. The current status is inactive.
| Licensee Name | MICHELLE L JACKSON APRN |
| Credential ID | 971465 |
| Credential Number | CSP.0049174 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
45 Evergreene Wallingford CT 06492-2975 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-10-22 |
| Effective Date | 2010-10-22 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 592715 | 10.088713 | Registered Nurse | 2009-05-20 | 2012-03-01 - 2013-02-28 | INACTIVE |
| 948245 | 12.004446 | Advanced Practice Registered Nurse | 2010-08-12 | 2012-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 45 EVERGREENE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2975 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha N Rosano | 6 Dannys Way, Wallingford, CT 06492-2975 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Stephanie E Virgulto | 33 Evergreene, Wallingford, CT 06492-2975 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Margaret Collins | 43 Evergreene, Wallingford, CT 06492-2975 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle Fey Aprn | 188 New Boston Rd, Sturbridge, MA 01566 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Michelle L Delayo Aprn | 170 Lair Rd, New Hartford, CT 06057 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle T Letendre Aprn | 23 Fisherdick Rd, Ware, MA 01082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle M Henry Aprn | 20 Felicity Ln, Torrington, CT 06790-6101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle L Shepherd Aprn | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2009-04-16 ~ 2011-02-28 |
| Michelle Brassington Aprn | 687 Opening Hill Rd, Madison, CT 06443-1742 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle L Smith Aprn | 1190 Sylvan Ave, Bridgeport, CT 06606-3063 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle S Wansky Aprn | 4709 Longcourt Dr Se, Smyrna, GA 30080-7196 | Controlled Substance Registration for Practitioner | 2007-04-20 ~ 2008-02-29 |
| Michelle L Purcaro Aprn | 50 North Street, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on MICHELLE L JACKSON 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).