SAMANTHA M MACPHAIL (Credential# 1800437) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 7, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
SAMANTHA M MACPHAIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008610. The credential type is advanced practice registered nurse. The effective date is November 7, 2019. The expiration date is October 31, 2020. The business address is 25 Edgewood Dr, Wallingford, CT 06492-2132. The current status is active.
| Licensee Name | SAMANTHA M MACPHAIL |
| Credential ID | 1800437 |
| Credential Number | 12.008610 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
25 Edgewood Dr Wallingford CT 06492-2132 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-07 |
| Effective Date | 2019-11-07 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-11-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1167482 | 10.112121 | Registered Nurse | 2013-07-11 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 25 EDGEWOOD DR |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2132 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna R Kolodziej | 23 Edgewood Dr, Wallingford, CT 06492-2132 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Aaron K Kolodziej | 23 Edgewood Dr, Wallingford, CT 06492-2132 | Heating, Piping & Cooling Unlimited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Samantha M Harris | 155 Windermere Ave Unit 2207, Ellington, CT 06029-5827 | Advanced Practice Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ricky G Ewell II | 177 9th Ave Apt 5d, New York, NY 10011-4974 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Elizabeth S Doty | 77 Lee Dr, Southington, CT 06489-2926 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Maria Magliacano | 117 Elm Pl, New Canaan, CT 06840-6310 | Advanced Practice Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Peggy A Ashley | Po Box 2415, Cornelius, NC 28031-2415 | Advanced Practice Registered Nurse | ~ |
| Mae Joy E Falk | 40 Nutmeg Ct, Middletown, CT 06457-2394 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on SAMANTHA M MACPHAIL.
| 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).