SUSAN M DEGENNARO APRN (Credential# 679360) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SUSAN M DEGENNARO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001180. The credential type is advanced practice registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is P.o. Box 367, West Hyannisport, MA 02672. The current status is active.
| Licensee Name | SUSAN M DEGENNARO APRN |
| Credential ID | 679360 |
| Credential Number | 12.001180 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
P.o. Box 367 West Hyannisport MA 02672 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-09-22 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 608303 | 10.E36963 | Registered Nurse | 1975-09-10 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 430024 | CSP.0038835 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-09 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | P.O. Box 367 |
| City | West Hyannisport |
| State | MA |
| Zip Code | 02672 |
| City | West Hyannisport |
| Zip Code | 02672 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + West Hyannisport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan M Dunigan Aprn | 71 North St, Shelton, CT 06484-1970 | Advanced Practice Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Susan Fisher Aprn | 54 Wells Rd, Monroe, CT 06468 | Advanced Practice Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| Susan E Grey Aprn | 11 Fairfield Ln, Glastonbury, CT 06033-2362 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Susan K Davis Aprn | 5 Fritz Rd, Killingworth, CT 06419 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Susan Ahlquist Aprn | 51 Neptune Ave, Norwalk, CT 06854 | Advanced Practice Registered Nurse | 2000-12-01 ~ 2002-01-31 |
| Susan Sperry Aprn | South Glastonbury, CT 06073 | Advanced Practice Registered Nurse | 2010-09-01 ~ 2011-08-31 |
| Susan E Martino Aprn | 506 Westledge Dr, Torrington, CT 06790 | Advanced Practice Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Susan Shafer Aprn | 25 Donna Dr, Burlington, CT 06013-1917 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Susan H Lynch Aprn | 394 Auburn Rd, West Hartford, CT 06119-1056 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Susan M Scott Aprn | 5253 Fannin St, Houston, TX 77004 | Advanced Practice Registered Nurse | 2012-05-01 ~ 2013-04-30 |
Please comment or provide details below to improve the information on SUSAN M DEGENNARO 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).