KUAN-YUN GANDELMAN APRN (Credential# 45358) 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.
KUAN-YUN GANDELMAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025146. 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 25 Cob Drive, Westport, CT 06880. The current status is lapsed.
Licensee Name | KUAN-YUN GANDELMAN APRN |
Credential ID | 45358 |
Credential Number | CSP.0025146 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
25 Cob Drive Westport CT 06880 |
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 |
---|---|---|---|---|---|
626547 | 10.E57641 | Registered Nurse | 1995-06-30 | 2017-07-01 - 2018-06-30 | INACTIVE |
679624 | 12.001444 | Advanced Practice Registered Nurse | 1996-10-18 | 2006-04-17 - 2007-06-30 | INACTIVE |
Street Address | 25 COB DRIVE |
City | WESTPORT |
State | CT |
Zip Code | 06880 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06880 |
City | WESTPORT |
Zip Code | 06880 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
M S Gandelman Md | 22 Dogwood Ct, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 1994-10-11 ~ 1996-09-01 |
Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Christine H Oha Aprn | 905 Marble Dr, Naples, FL 34104-0818 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Michael H Paulin Aprn | 69 Oak St, Watertown, CT 06795 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kelly Ann Sullivan Aprn | 6 Fox Run, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-21 ~ 2021-02-28 |
Patricia Guarino Aprn | 16 First Ave, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 1993-09-03 ~ 1995-09-01 |
Nancy Moriber Aprn | Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ann T Foley Aprn | 39 Farmington Ave E1, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carol J Monroe Aprn | 76 Elm St., New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).