GREGORY MARCELLIN
Advanced Practice Registered Nurse


Address: 14 Dyer Avenue, Everett, MA 02149

GREGORY MARCELLIN (Credential# 1300416) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.

Business Overview

GREGORY MARCELLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006225. The credential type is advanced practice registered nurse. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 14 Dyer Avenue, Everett, MA 02149. The current status is inactive.

Basic Information

Licensee Name GREGORY MARCELLIN
Credential ID 1300416
Credential Number 12.006225
Credential Type Advanced Practice Registered Nurse
Business Address 14 Dyer Avenue
Everett
MA 02149
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-08-07
Effective Date 2016-09-01
Expiration Date 2017-08-31
Refresh Date 2017-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1287383 10.128441 Registered Nurse 2015-08-03 2016-09-01 - 2017-08-31 INACTIVE
1304169 CSP.0061252 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-08-08 2015-08-08 - 2017-02-28 INACTIVE
1288306 10.126671-TEMP Registered Nurse - Temporary 2015-06-01 2015-06-01 - 2015-09-28 INACTIVE

Office Location

Street Address 14 Dyer Avenue
City Everett
State MA
Zip Code 02149

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Monica Ronaghan 25 Charlton Street, Apt.303, Everett, MA 02149 Registered Nurse 2016-06-01 ~ 2017-05-31
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Competitor

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City Everett
Zip Code 02149
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + Everett

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Dataset Information

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).

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