MARTHA A CAVALLO (Credential# 679975) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 1999. The license expiration date date is December 31, 2000. The license status is INACTIVE.
MARTHA A CAVALLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001796. The credential type is advanced practice registered nurse. The effective date is November 1, 1999. The expiration date is December 31, 2000. The business address is 111 Park Drive, Boston, MA 02215. The current status is inactive.
Licensee Name | MARTHA A CAVALLO |
Credential ID | 679975 |
Credential Number | 12.001796 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
111 Park Drive Boston MA 02215 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1998-03-13 |
Effective Date | 1999-11-01 |
Expiration Date | 2000-12-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
649335 | 10.R49587 | Registered Nurse | 1994-01-14 | 1999-11-01 - 2000-12-31 | INACTIVE |
Street Address | 111 PARK DRIVE |
City | BOSTON |
State | MA |
Zip Code | 02215 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bhaskar Roy | 111 Park Drive, Boston, MA 02215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Providence Strategic Growth Europe, Lp | Landmark Center, Boston, MA 02215 | Securities - Exemptions | ~ |
Dana-farber Cancer Institute Inc | 450 Brookline Ave, Boston, MA 02215 | Nonresident Pharmacy | ~ |
Kelly Zhang | 400 Brookline Ave, Boston, MA 02215 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Red Sox Foundation | 4 Jersey Street, Boston, MA 02215 | Public Charity | 2019-12-01 ~ 2020-11-30 |
James V Hennessey | Beth Israel Deaconness Mc, Boston, MA 02215 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Marc-david Munk | 136 Brookline Ave, Boston, MA 02215 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Walgreens #10996 | 429 Brookline Ave., Boston, MA 02215 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Inga-marie Schaefer | 19 Queensberry Street, Boston, MA 02215 | Physician/surgeon | 2018-02-01 ~ 2019-02-28 |
David E Denny | 51 Park Dr #2, Boston, MA 02215 | Professional Engineer | 2012-03-12 ~ 2013-01-31 |
E Kevin Schopfer · Ahearn-schopfer & Associates PC | 400 Commonwealth Ave, Boston, MA 02215 | Architect | 2015-08-01 ~ 2016-07-31 |
Find all Licenses in zip 02215 |
City | BOSTON |
Zip Code | 02215 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + BOSTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Martha Root | 84 Mink Run Rd, Wilmington, MA 01887-4547 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Martha B Kuzmeski | 31 Ninas Way, Manchester, CT 06040-6388 | Advanced Practice Registered Nurse | 2004-05-03 ~ 2010-05-31 |
Martha L Bankhead | 28 Wesleyan, Glastonbury, CT 06033 | Advanced Practice Registered Nurse | 1995-09-11 ~ 1996-10-31 |
Martha E Paduch | 64 Sullivan St., Charlestown, MA 02129 | Advanced Practice Registered Nurse | 2010-05-01 ~ 2011-04-30 |
Martha B O'brien Aprn | 300 Summit St, Hartford, CT 06106-3105 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Martha E Seneca | 11250-15 Old St. Augustine Rd, Jacksonville, FL 32257 | Advanced Practice Registered Nurse | 2015-04-01 ~ 2016-03-31 |
Martha Beebe Aprn | 116 Washington Ave, North Haven, CT 06473 | Advanced Practice Registered Nurse | 2014-04-01 ~ 2015-03-31 |
Martha S Labarr | 901 6530 Rd Unit 3803, Montrose, CO 81401-6808 | Advanced Practice Registered Nurse | 2019-08-28 ~ 2020-07-31 |
Martha J Mance Aprn | 1 Shadowbrook Lane, S Easton, MA 02375 | Advanced Practice Registered Nurse | 2014-07-01 ~ 2015-06-30 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
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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).