MARY E KENNEDY APRN
Registered Nurse


Address: 175 Ferry Rd Unit 4, Old Saybrook, CT 06475-1446

MARY E KENNEDY APRN (Credential# 595083) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2016. The license expiration date date is January 31, 2017. The license status is INACTIVE.

Business Overview

MARY E KENNEDY APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E16978. The credential type is registered nurse. The effective date is February 1, 2016. The expiration date is January 31, 2017. The business address is 175 Ferry Rd Unit 4, Old Saybrook, CT 06475-1446. The current status is inactive.

Basic Information

Licensee Name MARY E KENNEDY APRN
Credential ID 595083
Credential Number 10.E16978
Credential Type Registered Nurse
Business Address 175 Ferry Rd Unit 4
Old Saybrook
CT 06475-1446
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1948-11-23
Effective Date 2016-02-01
Expiration Date 2017-01-31
Refresh Date 2017-05-06

Other licenses

ID Credential Code Credential Type Issue Term Status
331249 CSP.0033110 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-03-01 2013-03-28 - 2015-02-28 INACTIVE
680979 12.002801 Advanced Practice Registered Nurse 2002-11-15 2014-02-01 - 2015-01-31 INACTIVE

Office Location

Street Address 175 FERRY RD UNIT 4
City OLD SAYBROOK
State CT
Zip Code 06475-1446

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City OLD SAYBROOK
Zip Code 06475
License Type Registered Nurse
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Dataset Information

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).

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