GENEVIEVE MACK APRN (Credential# 243207) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 14, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.
GENEVIEVE MACK APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030169. The credential type is controlled substance registration for practitioner. The effective date is March 14, 2002. The expiration date is February 28, 2003. The business address is 180 West Rock Avenue, New Haven, CT 06515. The current status is inactive.
| Licensee Name | GENEVIEVE MACK APRN |
| Credential ID | 243207 |
| Credential Number | CSP.0030169 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
180 West Rock Avenue New Haven CT 06515 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2002-03-14 |
| Expiration Date | 2003-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 566627 | 10.062616 | Registered Nurse | 1999-11-12 | 2001-06-25 - 2002-06-30 | INACTIVE |
| 680384 | 12.002206 | Advanced Practice Registered Nurse | 1999-12-23 | 2001-06-25 - 2002-06-30 | INACTIVE |
| Street Address | 180 WEST ROCK AVENUE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen M Mack Aprn | 28 Pirot Ct, East Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Genevieve T Chu | 967 Asylum Ave Apt 2q, Hartford, CT 06105-2412 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Genevieve C O'connell | 11 Brookfield Ct, Cheshire, CT 06410-4303 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Genevieve Estilo Md | 435 Whitney Ave #b6, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Genevieve Von Walstrom | 1 Linden Place, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alphonso L Mack | 30, Burlington, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Genevieve N Dinh | 2640 Moon Chase Ln, Buford, GA 30519-5363 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa Mack | 85 Seymour St, Hartford, CT 06106-5501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John E Kelleher Jr | 26 Mack Rd, Middlefield, CT 06455-1104 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Steven C Fitch | 321 Mack Rd, Lebanon, CT 06249-1718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GENEVIEVE MACK APRN.
| 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).