CARLY A KOERNER (Credential# 1001483) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
CARLY A KOERNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.100497. The credential type is registered nurse. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 24 Bliss Rd, Longmeadow, MA 01106-1420. The current status is active.
| Licensee Name | CARLY A KOERNER |
| Credential ID | 1001483 |
| Credential Number | 10.100497 |
| Credential Type | Registered Nurse |
| Business Address |
24 Bliss Rd Longmeadow MA 01106-1420 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-06-30 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-08-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2051660 | 12 | Advanced Practice Registered Nurse | - | PENDING | |
| 2051697 | CSP.0074332 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | PENDING |
| Street Address | 24 BLISS RD |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Krista Lewis Koerner | 24 Bliss Rd, Longmeadow, MA 01106-1420 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Paul A. Koerner | 24 Bliss Rd, Longmeadow, MA 01106-1420 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heidi Dahlquist-o'connor Mrs | 44 Bliss Rd, Longmeadow, MA 01106-1420 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| 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 | Registered Nurse |
| License Type + County | Registered Nurse + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenna T Koerner | 46 Candlewood Dr, Enfield, CT 06082-2737 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Kasey L. Koerner | 18 Lombard Ave, East Longmeadow, MA 01028-1642 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Beverly L Koerner | 94 Stonehouse Rd Unit 2, Coventry, CT 06238-3171 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Krista Lewis Koerner | 24 Bliss Rd, Longmeadow, MA 01106-1420 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kari J Koerner | 1403 Horizon Way, Manchester, CT 06042 | Registered Nurse | 2008-07-03 ~ 2009-03-31 |
| Theodore Koerner Aprn | 3210 Old Hickory Court, Davie, FL 33328 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Christian Koerner | 233 Racine Dr Unit 28, Wilmington, NC 28403-1946 | Registered Nurse - Temporary | 2019-09-10 ~ 2020-01-08 |
| Jensen Koerner Crane Service, Inc. | 400 Franklin Avenue, Rockaway, NJ 07866 | Crane Registration | 1997-05-09 ~ 1998-05-08 |
| Carly Anne Malmberg | Po Box 66, Fawnskin, CA 92333 | Registered Nurse | ~ |
| Carly Detterman | P. O Box 593, Monterey, MA 01245 | Registered Nurse | 2008-01-29 ~ 2009-02-28 |
Please comment or provide details below to improve the information on CARLY A KOERNER.
| 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).