TERRESA A LONG (Credential# 1302863) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 16, 2015. The license expiration date date is September 30, 2016. The license status is INACTIVE.
TERRESA A LONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006290. The credential type is advanced practice registered nurse. The effective date is September 16, 2015. The expiration date is September 30, 2016. The business address is 646 Balfour Road, Winston Salem, NC 27104. The current status is inactive.
| Licensee Name | TERRESA A LONG |
| Credential ID | 1302863 |
| Credential Number | 12.006290 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
646 Balfour Road Winston Salem NC 27104 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-09-16 |
| Effective Date | 2015-09-16 |
| Expiration Date | 2016-09-30 |
| Refresh Date | 2017-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1301585 | 10.129416 | Registered Nurse | 2015-09-04 | 2015-09-04 - 2016-09-30 | INACTIVE |
| Street Address | 646 Balfour Road |
| City | Winston Salem |
| State | NC |
| Zip Code | 27104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Dawn Shore | 381 Dover Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Donna J O'meara · Lyons | 827 Westover Ave, Winston Salem, NC 27104 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Teri Ann Learned | 4030 Dresden Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Arie Mantin | 1028 Greenhurst Rd, Winston Salem, NC 27104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna M Miller | 1025 Turtlerock Lane, Winston Salem, NC 27104 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| James T Brown · Bahnson Service Company | 268 Stanaford Rd, Winston-salem, NC 27104 | Professional Engineer | 1987-01-29 ~ 1988-01-31 |
| Dsa Group of Nc Inc | 1277 Kent Place Ln, Winston Salem, NC 27104 | Professional Engineer | 1989-03-16 ~ 1990-01-31 |
| Frederick W Kremkau | 5104 Huntcliff Trail, Winston-salem, NC 27104 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
| Douglas W Woolard Md | 792 Roslyn Road, Winston-salem, NC 27104 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Tuajuana A Durbin | 3818 Country Club Rd Apt H, Winston-salem, NC 27104 | Registered Nurse | 2009-11-01 ~ 2010-10-31 |
| Find all Licenses in zip 27104 | |||
| City | Winston Salem |
| Zip Code | 27104 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Winston Salem |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol A Standish | 1 Long Wharf Dr Ste 500, New Haven, CT 06511-5991 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kathleen A Reid | 61 Holy Cross Cir, E Long, MA 01028 | Advanced Practice Registered Nurse | 2002-03-07 ~ 2003-04-30 |
| Lalida Long | 239 Cedar Ridge Dr, Glastonbury, CT 06033-1815 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| John A Stellato | 593 Long Mountain Rd, New Milford, CT 06776 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Lora Long Feld | 14 Aspenwood Dr, Weatogue, CT 06089-9679 | Advanced Practice Registered Nurse | 2015-06-01 ~ 2016-05-31 |
| Sarah E Long | 181 Main Street, Northampton, MA 01060 | Advanced Practice Registered Nurse | 2010-08-01 ~ 2011-07-31 |
| Michelle L Gudelski | 109 Long Needle Ln, Summerville, SC 29485-4943 | Advanced Practice Registered Nurse | 2017-10-01 ~ 2018-09-30 |
| Filma Alquisola Bicknell | 19 Long Hill Dr, Stamford, CT 06902-1414 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Julie A Fowler | 2545 Long Hill Rd, Guilford, CT 06437-3616 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Matthew T Lasky | 956 Long Cove Rd, Gales Ferry, CT 06335 | Advanced Practice Registered Nurse | 1996-07-22 ~ 1997-09-30 |
Please comment or provide details below to improve the information on TERRESA A LONG.
| 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).