MARY L CRANDALL APRN (Credential# 492343) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
MARY L CRANDALL APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043020. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 3104 Lexington Farms Dr, Alpharetta, GA 30004-6750. The current status is inactive.
| Licensee Name | MARY L CRANDALL APRN |
| Credential ID | 492343 |
| Credential Number | CSP.0043020 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3104 Lexington Farms Dr Alpharetta GA 30004-6750 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-01-22 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 681684 | 12.003506 | Advanced Practice Registered Nurse | 2006-09-19 | 2011-06-01 - 2012-05-31 | INACTIVE |
| 581591 | 10.077589 | Registered Nurse | 2006-01-30 | 2011-06-01 - 2012-05-31 | INACTIVE |
| Street Address | 3104 LEXINGTON FARMS DR |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30004-6750 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Williamson | 385 Eagles Pass, Alpharetta, GA 30004 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Domenick A. Ciocca, Jr. | 500 Waterhaven Lane, Alpharetta, GA 30004 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Ankur B Makadia | 130 Brookeivey Ln., Alpharetta, GA 30004 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Charles Y Kim | 12275 Ferncreek Drive, Alpharetta, GA 30004 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| William Frederick Stax | 11850 Old Station Place, Alpharetta, GA 30004 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Canine Assistants | 3160 Francis Road, Milton, GA 30004 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Deborah Ann Dean | 225 Edinburgh Court, Alpharetta, GA 30004 | Registered Nurse | 2017-12-15 ~ 2018-08-31 |
| Stacy Lea Brune | 15485 Birmingham Hwy, Milton, GA 30004 | Registered Nurse | 2017-10-04 ~ 2018-07-31 |
| Jessica L. Parent | 40 Ranchette Road, Alpharetta, GA 30004 | Certified Public Accountant Certificate | ~ |
| Canton Laboratories, LLC · No Other Names Used. | 1015 Nine North Drive, Alpharetta, GA 30004 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2016-10-13 ~ |
| Find all Licenses in zip 30004 | |||
| City | ALPHARETTA |
| Zip Code | 30004 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALPHARETTA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean W Crandall Aprn | 75 Westminster Drive, Yonkers, NY 10710 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Mary Demirs Aprn | 78 Sills Dr, Oakville, CT 06779 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mary D Moller Aprn | 405 Stevenson Rd, New Haven, CT 06515-2471 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mary B Kruckas Aprn | 628 Valley Rd, Dayville, CT 06241 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mary Lewis Aprn | 144 Arch Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mary E Bartlett Aprn | 23 Southwest Rd, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mary A Ferazzi Aprn | 718 Laurel St, Longmeadow, MA 01106 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Mary R Harris Aprn | 90 Fountain Ter, New Haven, CT 06515-1822 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary K Nickel Aprn | 86 W Hill Rd, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2004-07-30 ~ 2005-02-28 |
| Mary Strohecker Aprn | 21 Reed Rd, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on MARY L CRANDALL 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).