MAGGIE M WALLACE (Credential# 1672301) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MAGGIE M WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008373. The credential type is advanced practice registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 24 Woodhaven Dr, Burlington, CT 06013-2401. The current status is active.
| Licensee Name | MAGGIE M WALLACE |
| Credential ID | 1672301 |
| Credential Number | 12.008373 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
24 Woodhaven Dr Burlington CT 06013-2401 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-06 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 923003 | 10.094397 | Registered Nurse | 2010-06-25 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 2013012 | CSP.0073258 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-02-28 | 2020-02-28 - 2021-02-28 | ACTIVE |
| 1683350 | CSP.0072250 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-08-14 | 2019-08-14 - 2021-02-28 | ACTIVE |
| Street Address | 24 WOODHAVEN DR |
| City | BURLINGTON |
| State | CT |
| Zip Code | 06013-2401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan R Doerr | 28 Woodhaven Dr, Burlington, CT 06013-2401 | Hairdresser/cosmetician | 2019-10-01 ~ 2021-09-30 |
| Peggy L Davey | 23 Misty Meadows, Burlington, CT 06013-2401 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| E David Pencz | 27 Woodhaven Dr, Burlington, CT 06013-2401 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Marla J Person | 50 Woodhaven Dr, Burlington, CT 06013-2401 | Pharmacy Technician | 2010-04-01 ~ 2011-03-31 |
| Jzs Excavation LLC | 41 Woodhaven Dr, Burlington, CT 06013-2401 | Home Improvement Contractor | 2012-03-19 ~ 2012-11-30 |
| Jason E Pencz | 27 Woodhaven Dr, Burlington, CT 06013-2401 | Electrical Limited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | BURLINGTON |
| Zip Code | 06013 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Judy Gail Figueroa | 172 Maggie Way, Myrtle Beach, SC 29588 | Advanced Practice Registered Nurse | ~ |
| Wallace Hamel Aprn | 65 Uncas Rd, Clinton, CT 06413 | 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 |
| Peggy A Ashley | Po Box 2415, Cornelius, NC 28031-2415 | Advanced Practice Registered Nurse | ~ |
| Christine Butler | 127 Camp Rd, Charlston, SC 29412 | Advanced Practice Registered Nurse | ~ |
| Maggin Mathew | 49 Autumn Cir, Yonkers, NY 10703-1605 | Advanced Practice Registered Nurse | ~ |
| Jane E Neu | 671 Chaffeeville Rd, Storrs, CT 06268-2337 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| L. Ann Whitaker | 20 Sconset Ln, Guilford, CT 06437-1899 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Sharon K Hernly | 20 Fox Den Rd, Danbury, CT 06811 | Advanced Practice Registered Nurse | 1997-02-05 ~ 1998-03-31 |
| Chieu Le | 113 Willow St, Chelsea, MA 02150-3306 | Advanced Practice Registered Nurse | 2016-10-27 ~ 2017-08-31 |
Please comment or provide details below to improve the information on MAGGIE M WALLACE.
| 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).