MILDRED L BALLARD (Credential# 678282) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 31, 1996. The license expiration date date is September 30, 1997. The license status is INACTIVE.
MILDRED L BALLARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000088. The credential type is advanced practice registered nurse. The effective date is July 31, 1996. The expiration date is September 30, 1997. The business address is 165 Jeffrey La, West Springfield, MA 01089. The current status is inactive.
Licensee Name | MILDRED L BALLARD |
Credential ID | 678282 |
Credential Number | 12.000088 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
165 Jeffrey La West Springfield MA 01089 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1991-02-05 |
Effective Date | 1996-07-31 |
Expiration Date | 1997-09-30 |
Refresh Date | 2009-07-08 |
Street Address | 165 JEFFREY LA |
City | WEST SPRINGFIELD |
State | MA |
Zip Code | 01089 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Darlene A Kurman | 158 Edgewood Rd, W Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jessica Marquez | 758 Westfield St, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
Jody L Russell | 121 Greenleaf Ave, West Springfield, MA 01089 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Katherine Zemanek | 81 Braintree Road, West Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
John Calabrese | 64 High Meadow Dr, West Springfield, MA 01089 | Dentist | ~ |
Mary Christine Matias | 24 Appaloosa Lane, West Springfield, MA 01089 | Licensed Practical Nurse | ~ |
Elizabeth A Favreau | 21 Hummingbird Lane, West Springfield, MA 01089 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
James M Hanifan | 90 Bayberry Ln, W Springfield, MA 01089 | Architect | 2020-08-01 ~ 2021-07-31 |
Katie Marie Sniegowski | 22 Garden St, West Springfield, MA 01089 | Registered Nurse - Temporary | 2020-02-05 ~ 2020-06-04 |
Surgi-care Inc | 150 Doty Cir, West Springfield, MA 01089 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01089 |
City | WEST SPRINGFIELD |
Zip Code | 01089 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + WEST SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kristen Shoar | 56 Fountain Rd, Wales, MA 01081-9511 | Advanced Practice Registered Nurse | ~ |
Yan Chen | 326 Mountain Rd, Wilton, CT 06897-1532 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Karren L Slade | 265 New Rd, Avon, CT 06001-3163 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Angelica V. Hay | 85 Retreat Ave, Hartford, CT 06106-2555 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
Cheryl Conwell | 523 E 72nd St, New York, NY 10021-4099 | Advanced Practice Registered Nurse | ~ |
Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
Kelsey N.m. Adams | 105 E St Ste 2b, Davis, CA 95616-4567 | Advanced Practice Registered Nurse | 2013-07-01 ~ 2014-06-30 |
Elizabeth S Doty | 77 Lee Dr, Southington, CT 06489-2926 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Peggy A Ashley | Po Box 2415, Cornelius, NC 28031-2415 | Advanced Practice Registered Nurse | ~ |
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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).