BEVERLY A DEBRUYN (Credential# 678270) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 9, 1995. The license expiration date date is September 30, 1996. The license status is INACTIVE.
BEVERLY A DEBRUYN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000076. The credential type is advanced practice registered nurse. The effective date is August 9, 1995. The expiration date is September 30, 1996. The business address is 111 Russett Street, West Roxbury, MA 02132. The current status is inactive.
| Licensee Name | BEVERLY A DEBRUYN |
| Credential ID | 678270 |
| Credential Number | 12.000076 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
111 Russett Street West Roxbury MA 02132 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1991-01-08 |
| Effective Date | 1995-08-09 |
| Expiration Date | 1996-09-30 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 641626 | 10.R37954 | Registered Nurse | 1984-06-29 | 1993-08-25 - 1994-09-30 | INACTIVE |
| Street Address | 111 RUSSETT STREET |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ben Freiberg | 352 Lagrange St., West Roxbury, MA 02132 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Kathryn Boyne | 10 Graham Ter, West Roxbury, MA 02132 | Licensed Clinical Social Worker | ~ |
| James Pappas | 264 Temple St, West Roxbury, MA 02132 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kate Larsen | 15 Lorette Street, Boston, MA 02132 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Jacob Williams | 16 Bobolink St, West Roxbury, MA 02132 | Professional Counselor Associate | 2020-01-21 ~ 2020-11-30 |
| Michelle A Celentano | 8 Glenburnie Rd, West Roxbury, MA 02132 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ruth C Peterle-dzurec | 506 Lagrange Street, West Roxbury, MA 02132 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Bridgid Maeve O'brien | 665 West Roxbury Pkwy, West Roxbury, MA 02132 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Guixiao Li | 29 Maplewood Street, West Roxbury, MA 02132 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 02132 | |||
| City | WEST ROXBURY |
| Zip Code | 02132 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WEST ROXBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meagane Boston | 8 Beverly St, Enfield, CT 06082 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Beverly J Degrandchamp | 414 Lafayette St, Clinton, NC 28328-3516 | Advanced Practice Registered Nurse | 2020-04-27 ~ 2021-03-31 |
| Maria A Lankowski | 128 Beverly Dr, Westfield, MA 01085 | Advanced Practice Registered Nurse | 2013-10-01 ~ 2014-09-30 |
| Roxana Bustamante | 645 Beverly Rd, Teaneck, NJ 07666-1859 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Cindy L Feliciano | 716a Cabot St, Beverly, MA 01915-1028 | Advanced Practice Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Joanne M Denton | Po Box 640490, Beverly Hills, FL 34464-0490 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Tracey M Debruyn | 6 Candlewood Acres Rd, Brookfield, CT 06804-1629 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gary L Roy | 132 Adams St, New Britain, CT 06052 | Advanced Practice Registered Nurse | 2009-07-03 ~ 2010-07-31 |
Please comment or provide details below to improve the information on BEVERLY A DEBRUYN.
| 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).