INGRID ESTEPHAN (Credential# 1625566) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
INGRID ESTEPHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008126. The credential type is advanced practice registered nurse. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 148 Timber Ct, Wood Dale, IL 60191. The current status is active.
| Licensee Name | INGRID ESTEPHAN |
| Credential ID | 1625566 |
| Credential Number | 12.008126 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
148 Timber Ct Wood Dale IL 60191 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-05 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-08-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1625563 | 10.157765 | Registered Nurse | 2019-01-17 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1625857 | 10.157615-TEMP | Registered Nurse - Temporary | 2019-01-14 | 2019-01-14 - 2019-05-14 | INACTIVE |
| Street Address | 148 Timber Ct |
| City | Wood Dale |
| State | IL |
| Zip Code | 60191 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walgreens Sleep & Respiratory Services LLC | 1226 Michael Drive, Wood Dale, IL 60191 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2014-07-01 ~ 2015-04-17 |
| Robert B Mullan Jr | 162 Juliann Drive #5, Wood Dale, IL 60191 | Podiatrist | ~ 1996-10-31 |
| Aeromed Ltd | 1400 N Mittel Blvd Ste B, Wood Dale, IL 60191-1001 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-07-01 ~ 2016-06-30 |
| Smith Medical Partners LLC | 940 Lively Blvd, Wood Dale, IL 60191-1204 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2016-07-01 ~ 2017-06-30 |
| Smith Medical Partners LLC | 950 Lively Blvd, Wood Dale, IL 60191-1204 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2016-07-01 ~ 2017-06-30 |
| Michael C Karchner | 422 Elizabeth Dr, Wood Dale, IL 60191-2335 | Asbestos Abatement Supervisor | 2012-08-01 ~ 2014-07-31 |
| City | Wood Dale |
| Zip Code | 60191 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Wood Dale |
| 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 |
| Kathleen A. Nopper | 400 Elm, West Haven, CT 06516 | Advanced Practice Registered Nurse | ~ |
| Ann Mullins | 885 Enon Ln, Bolivar, TN 38008-3851 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gary L Roy | 132 Adams St, New Britain, CT 06052 | Advanced Practice Registered Nurse | 2009-07-03 ~ 2010-07-31 |
| Erin R Swiggum | Po Box 129, La Farge, WI 54639-0129 | Advanced Practice Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Karren L Slade | 265 New Rd, Avon, CT 06001-3163 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Chieu Le | 113 Willow St, Chelsea, MA 02150-3306 | Advanced Practice Registered Nurse | 2016-10-27 ~ 2017-08-31 |
| Kathleen Dibiase | 26 Independence Way, Titusville, NJ 08560 | Advanced Practice Registered Nurse | ~ |
| Michelle O Itidiare | 255 Baltusrol Way, Springfield, NJ 07081-2107 | 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).