SAMANTHA M HARRIS (Credential# 1453730) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
SAMANTHA M HARRIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007307. The credential type is advanced practice registered nurse. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 155 Windermere Ave Unit 2207, Ellington, CT 06029-5827. The current status is inactive.
Licensee Name | SAMANTHA M HARRIS |
Credential ID | 1453730 |
Credential Number | 12.007307 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
155 Windermere Ave Unit 2207 Ellington CT 06029-5827 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2017-10-12 |
Effective Date | 2018-05-01 |
Expiration Date | 2019-04-30 |
Refresh Date | 2019-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1072833 | 10.106605 | Registered Nurse | 2012-07-06 | 2018-05-01 - 2019-04-30 | INACTIVE |
1456281 | CSP.0066971 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-10-16 | 2017-10-16 - 2019-02-28 | LAPSED |
1454240 | 10.145421-TEMP | Registered Nurse - Temporary | 2017-10-04 | 2017-10-04 - 2018-01-31 | INACTIVE |
Street Address | 155 WINDERMERE AVE UNIT 2207 |
City | ELLINGTON |
State | CT |
Zip Code | 06029-5827 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren Elizabeth Pritchett | 155 Windermere Ave Unit 2207, Ellington, CT 06029-5827 | Massage Therapist | 2019-08-29 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Liudmila Khokha | 155 Windermere Ave Unit 2201, Ellington, CT 06029-5827 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Alice P House | 155 Windermere Ave Unit 2203, Ellington, CT 06029-5827 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa M Houlihan | 42 Crane Road, Ellington, CT 06029 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Christine E Powers | 94 Abbott Road, Ellington, CT 06029 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Kathryn R Walker | 3 Maplewood Dr, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Megan Elizabeth Knowling | 40 Ellridge Pl, Ellington, CT 06029 | Emergency Medical Technician | ~ |
Elizabeth J Rhoads | 18 Crystal Ridge Dr., Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nancy S Nicolescu | 21 Lake Street, Ellington, CT 06029 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Emily Albertson | 155 Windermere Ave #3005, Ellington, CT 06029 | Registered Nurse | ~ |
Meghan Laughlan | 3 Crystal Ball Ct, Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carly A Havener | 187 Mountain Street, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Carol G Aborn | 21 Upper Butcher Rd., Ellington, CT 06029 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06029 |
City | ELLINGTON |
Zip Code | 06029 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + ELLINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Samantha M Macphail | 25 Edgewood Dr, Wallingford, CT 06492-2132 | Advanced Practice Registered Nurse | 2019-11-07 ~ 2020-10-31 |
Natasha Harris | 33 Mansion St, New Haven, CT 06512 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Samantha Shackleford | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Advanced Practice Registered Nurse | 2019-09-25 ~ 2020-09-30 |
Samantha T Belmont | 17 Scenic Hill Rd, Trumbull, CT 06611-2506 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Tabitha L Harris | 31 High Street #7204, East Hartford, CT 06118 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Carol A Bova | P.o. Box 215, Princeton, MA 01541 | Advanced Practice Registered Nurse | 2009-12-01 ~ 2010-11-30 |
Ann B Williams | 433 E 51st St Apt 10a, New York, NY 10022-6472 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Daniel M Hemrick | 709 Braddock Ave, Mountain Brk, AL 35213-2515 | Advanced Practice Registered Nurse | ~ |
Wayne R Alongi | 104 Inverrary Ct, Slidell, LA 70460-5131 | Advanced Practice Registered Nurse | ~ |
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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).