KERRY A PETRELLO (Credential# 1587614) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KERRY A PETRELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007838. The credential type is advanced practice registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 125 Geddes Ter, Waterbury, CT 06708-4707. The current status is active.
Licensee Name | KERRY A PETRELLO |
Credential ID | 1587614 |
Credential Number | 12.007838 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
125 Geddes Ter Waterbury CT 06708-4707 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-09-06 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-22 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
573420 | 10.069413 | Registered Nurse | 2002-08-01 | 2020-06-01 - 2021-05-31 | ACTIVE |
1598441 | CSP.0069487 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-09-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
866942 | 70.941164 | Emergency Medical Technician | 1994-06-09 | - 1996-06-30 | INACTIVE |
Street Address | 125 GEDDES TER |
City | WATERBURY |
State | CT |
Zip Code | 06708-4707 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Armando Cruz Jr | 161 Geddes Ter, Waterbury, CT 06708-4707 | Radiographer | 2020-05-01 ~ 2021-04-30 |
S & J Systems LLC | 131 Geddes Ter, Waterbury, CT 06708-4707 | Home Improvement Contractor | 2019-06-18 ~ 2019-11-30 |
Matthew M Josephson | 119 Geddes Ter, Waterbury, CT 06708-4707 | Flat Glass Unlimited Journeyperson | 2019-11-09 ~ 2020-08-31 |
Peter Loschiavo | 155 Geddes Ter, Waterbury, CT 06708-4707 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
Jeffrey M Windischman | 161 Geddes Ter Fl 2, Waterbury, CT 06708-4707 | Home Improvement Contractor | 2012-11-30 ~ 2013-11-30 |
Ashley H Franklin | 119 Geddes Ter, Waterbury, CT 06708-4707 | Registered Nurse | 2015-03-01 ~ 2016-02-29 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06708 |
City | WATERBURY |
Zip Code | 06708 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + WATERBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kerry L Ray | 32 Graenest Ridge Rd, Wilton, CT 06897-2928 | Advanced Practice Registered Nurse | 2019-07-01 ~ 2020-06-30 |
Kerry-ann A Dudley | 192 Colonial St, Oakville, CT 06779 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Kerry R Stephenson Aprn | 12 Connolly Dr, Old Saybrook, CT 06475-1162 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Kerry Puglia | 53 Old Hill Road, Westport, CT 06880 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kerry A Daniels | 46 Wadsworth Street, Hamden, CT 06517 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Kerry Mccray | 10230 Cloverlea Ct, Mechanicsville, VA 23116-5104 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Kerry Ann S Mcfarquhar | 60 Greenwich Avenue, Central Valley, NY 10917 | 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 |
Etta G Oye | 44 Beatrice Ave, Warwick, RI 02889-4604 | Advanced Practice Registered Nurse | 2016-08-01 ~ 2017-07-31 |
Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
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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).