ELIZABETH MODENE APRN (Credential# 679561) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 12, 2003. The license expiration date date is September 30, 2004. The license status is INACTIVE.
ELIZABETH MODENE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001381. The credential type is advanced practice registered nurse. The effective date is September 12, 2003. The expiration date is September 30, 2004. The business address is 144 Pine Brook Rd, Colchester, CT 06415. The current status is inactive.
| Licensee Name | ELIZABETH MODENE APRN |
| Credential ID | 679561 |
| Credential Number | 12.001381 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
144 Pine Brook Rd Colchester CT 06415 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-07-19 |
| Effective Date | 2003-09-12 |
| Expiration Date | 2004-09-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 347823 | CSP.0034048 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-08-29 - 2004-02-28 | INACTIVE | |
| 647034 | 10.R47197 | Registered Nurse | 1991-07-01 | 2000-11-17 - 2001-09-30 | INACTIVE |
| Street Address | 144 PINE BROOK RD |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Shattuck | 66 South Road, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Linda Smith · Lamb | 25 Loomis Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Vincent Vespa Jr | 671 Norwich Ave, Colchester, CT 06415 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Deborah L Strong · Bowen | 98 Lebanon Avenue, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lucy A Boisse | 115 Stanavage Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Alicia R Bohnenkamper | 906 Canterbury Lane, Colchester, CT 06415 | Notary Public Appointment | 2011-09-28 ~ 2016-09-30 |
| Anna M Sofia | 75 B Elmwood Heights, Colcheshter, CT 06415 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J J Noels Supermarket | 15 Broadway, Colchester, CT 06415 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Linda S Kvasnik | 69 Colburn Dr, Colchester, CT 06415 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| James W Bansemer · General Builders & Remodelers | 87 O'connell Road, Colchester, CT 06415 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Find all Licenses in zip 06415 | |||
| City | COLCHESTER |
| Zip Code | 06415 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + COLCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Davoren Aprn | 152 Campmeeting Rd, Bolton, CT 06043-7528 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Mary Elizabeth Colageo Aprn | Rfd 2, Manson, MA 01057 | Advanced Practice Registered Nurse | 2001-04-10 ~ 2002-05-31 |
| Elizabeth Menton Aprn | 50 Columbus Blvd, Hartford, CT 06106 | Advanced Practice Registered Nurse | 1997-01-29 ~ 1998-02-28 |
| Elizabeth L Cocola Aprn | 131 Gail Ln, South Windsor, CT 06074-4224 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Mcveety Aprn | 60 Dogwood Circle, Woodbridge, CT 06525 | Advanced Practice Registered Nurse | 2015-03-01 ~ 2016-02-29 |
| Elizabeth G Shinkevich Aprn | 1055 Wolf Hill Rd, Cheshire, CT 06410-1732 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Elizabeth E Black Aprn | 22f Amato Drive, South Windsor, CT 06074 | Advanced Practice Registered Nurse | 2013-07-01 ~ 2014-06-30 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Wendy Sergeant Aprn | Po Box 964, Sturbridge, MA 01566-2964 | Advanced Practice Registered Nurse | 2008-05-22 ~ 2009-05-31 |
| Patricia L O'neil Aprn | Po Box 272, Amenia, NY 12501 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on ELIZABETH MODENE 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).