MARY-ELLEN A GONCI APRN
Registered Nurse


Address: 422 Burrows Hill Rd, Amston, CT 06231

MARY-ELLEN A GONCI APRN (Credential# 603840) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2013. The license expiration date date is March 31, 2014. The license status is INACTIVE.

Business Overview

MARY-ELLEN A GONCI APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E30839. The credential type is registered nurse. The effective date is April 1, 2013. The expiration date is March 31, 2014. The business address is 422 Burrows Hill Rd, Amston, CT 06231. The current status is inactive.

Basic Information

Licensee Name MARY-ELLEN A GONCI APRN
Credential ID 603840
Credential Number 10.E30839
Credential Type Registered Nurse
Business Address 422 Burrows Hill Rd
Amston
CT 06231
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1968-09-03
Effective Date 2013-04-01
Expiration Date 2014-03-31
Refresh Date 2015-03-13

Other licenses

ID Credential Code Credential Type Issue Term Status
681136 12.002958 Advanced Practice Registered Nurse 2003-10-14 2012-04-01 - 2013-03-31 INACTIVE
418181 CSP.0038417 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-10-06 2013-03-08 - 2013-02-28 RETIRED

Office Location

Street Address 422 BURROWS HILL RD
City AMSTON
State CT
Zip Code 06231

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City AMSTON
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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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