SUSAN K DAVIS APRN (Credential# 678652) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
SUSAN K DAVIS APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000468. The credential type is advanced practice registered nurse. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 5 Fritz Rd, Killingworth, CT 06419. The current status is active.
| Licensee Name | SUSAN K DAVIS APRN |
| Credential ID | 678652 |
| Credential Number | 12.000468 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
5 Fritz Rd Killingworth CT 06419 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-09-11 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 636468 | 10.R27307 | Registered Nurse | 1975-05-06 | 2020-09-01 - 2021-08-31 | ACTIVE |
| 157730 | CSP.0020641 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 5 FRITZ RD |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
| Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06419 | |||
| City | KILLINGWORTH |
| Zip Code | 06419 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + KILLINGWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie E Pardee Aprn | 288 Davis St, Oakville, CT 06779-2315 | Advanced Practice Registered Nurse | 2016-12-01 ~ 2017-11-30 |
| Ruth A Davis Aprn | 5 Ellison Park, Waltham, MA 02452 | Advanced Practice Registered Nurse | 2001-02-12 ~ 2002-03-31 |
| Susan M Degennaro Aprn | P.o. Box 367, West Hyannisport, MA 02672 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Susan Shafer Aprn | 25 Donna Dr, Burlington, CT 06013-1917 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Susan Fisher Aprn | 54 Wells Rd, Monroe, CT 06468 | Advanced Practice Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| Susan M Dunigan Aprn | 71 North St, Shelton, CT 06484-1970 | Advanced Practice Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Susan Ahlquist Aprn | 51 Neptune Ave, Norwalk, CT 06854 | Advanced Practice Registered Nurse | 2000-12-01 ~ 2002-01-31 |
| Susan E Martino Aprn | 506 Westledge Dr, Torrington, CT 06790 | Advanced Practice Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Susan E Grey Aprn | 11 Fairfield Ln, Glastonbury, CT 06033-2362 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Susan Sperry Aprn | South Glastonbury, CT 06073 | Advanced Practice Registered Nurse | 2010-09-01 ~ 2011-08-31 |
Please comment or provide details below to improve the information on SUSAN K DAVIS 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).