WILLIAM R HENDRIXSON APRN (Credential# 187937) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
WILLIAM R HENDRIXSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026228. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 140 Allison Way, East Haven, CT 06512-6006. The current status is lapsed.
Licensee Name | WILLIAM R HENDRIXSON APRN |
Credential ID | 187937 |
Credential Number | CSP.0026228 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
140 Allison Way East Haven CT 06512-6006 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
679848 | 12.001669 | Advanced Practice Registered Nurse | 1997-10-03 | 2017-03-01 - 2018-02-28 | INACTIVE |
627610 | 10.E58710 | Registered Nurse | 1996-07-05 | 2017-03-01 - 2018-02-28 | INACTIVE |
Street Address | 140 ALLISON WAY |
City | EAST HAVEN |
State | CT |
Zip Code | 06512-6006 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
Find all Licenses in zip 06512 |
City | EAST HAVEN |
Zip Code | 06512 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William J Sheetz Aprn | 17 Southridge Rd, Prospect, CT 06712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
William Delgiudice Aprn | 14 Timrod Rd, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
William Allen Aprn | 5 Silas Deane Rd, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 1993-10-14 ~ 1995-06-01 |
William H Ball Aprn | 875 Wilmette Avenue, Ormond Beach, FL 32174 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Julie Stewart Aprn | 7 Schubert Ln, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gale Banks Aprn | 39 Elm St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Shahnaz Mootabar Aprn | 12 Flagler Dr, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jennifer L Yau Aprn | 627 Chapel St Apt 3a, New Haven, CT 06511-6994 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).