EBONY T JOHNSON (Credential# 1594144) 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.
EBONY T JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007774. 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 835 Mix Ave Apt 315, Hamden, CT 06514. The current status is active.
Licensee Name | EBONY T JOHNSON |
Credential ID | 1594144 |
Credential Number | 12.007774 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
835 Mix Ave Apt 315 Hamden CT 06514 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-08-22 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
933707 | 10.095570 | Registered Nurse | 2010-08-06 | 2020-06-01 - 2021-05-31 | ACTIVE |
1594814 | CSP.0069389 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-08-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 835 Mix Ave Apt 315 |
City | Hamden |
State | CT |
Zip Code | 06514 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06514 |
City | Hamden |
Zip Code | 06514 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + Hamden |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Amanda Lee | 1086 Johnson Road, Woodbridge, CT 06525 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Debra V Johnson | 35 Tower Lane, Avon, CT 06001 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jennifer D Johnson | 2819 Birch St, Yorktown Hts, NY 10598 | Advanced Practice Registered Nurse | 2005-12-21 ~ 2007-02-28 |
Steven J Creamer Aprn | 5 Tulip Hill Rd, Johnson, RI 02919 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
Rachelle Johnson | 1789 W Crimson Clover Ln, Tucson, AZ 85704-1469 | Advanced Practice Registered Nurse | 2019-12-02 ~ 2020-09-30 |
Deon R Johnson-allen | 144c Redstone Hill Road, Plainville, CT 06062 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Yan Chen | 326 Mountain Rd, Wilton, CT 06897-1532 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
Maury G Barrett | 185 Massachusetts Ave Apt 803, Boston, MA 02115-3035 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on EBONY T JOHNSON.
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).