TERRY L CONRAD (Credential# 680160) 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.
TERRY L CONRAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001982. 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 40 E Putnam Ave, Cos Cob, CT 06807-2600. The current status is active.
| Licensee Name | TERRY L CONRAD |
| Credential ID | 680160 |
| Credential Number | 12.001982 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
40 E Putnam Ave Cos Cob CT 06807-2600 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-12-18 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 649175 | 10.R49427 | Registered Nurse | 1993-12-03 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 1255846 | CSP.0059049 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-11-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 209037 | CSP.0027846 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 40 E PUTNAM AVE |
| City | COS COB |
| State | CT |
| Zip Code | 06807-2600 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerald Hyman Dmd · Valleywood Professional Building | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George Essenfeld Dds | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | Dentist | 2005-02-14 ~ 2006-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Song Ie Lee | 2 Relay Pl, Cos Cob, CT 06807 | Esthetician | ~ |
| Judith G Rein | 444 Cognewaugh Road, Cos Cob, CT 06807 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Beacon Point Marine | 49 River Rd, Cos Cob, CT 06807 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Liliane Henry | 70 Cos Cob Street Apt 2, Greenwich, CT 06807 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Jo L Whelan | 22 Barton Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Frank A Cantavero | 90 Valley Road, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Dominick J Mancuso | 20 Robertson Lane, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen M Fillion | 34 1/2 River Rd, Cos Cob, CT 06807 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-13 ~ 2021-09-30 |
| Margaret A Phillips | 2 Waterfall Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Joyce Somm | 12 River Lane, Cos Cob, CT 06807 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Find all Licenses in zip 06807 | |||
| City | COS COB |
| Zip Code | 06807 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + COS COB |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela M Conrad | 650 Burr St, Fairfield, CT 06824-7109 | Advanced Practice Registered Nurse | 2010-01-01 ~ 2010-12-31 |
| Kimberly A Gage Aprn | 33 Terry Road, West Springfield, MA 01089 | Advanced Practice Registered Nurse | 2015-01-01 ~ 2015-12-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
| Angelica V. Hay | 85 Retreat Ave, Hartford, CT 06106-2555 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Ricky G Ewell II | 177 9th Ave Apt 5d, New York, NY 10011-4974 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Claudia Ann Graham | 1 Bridge Rd, Menands, NY 12204-1421 | Advanced Practice Registered Nurse | ~ |
| Leigh B Bak | 15 Seaside Ct, Milford, CT 06460-4608 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Wanda Pothier | 78 Lee Cir, Pascoag, RI 02859-1313 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Judith E Staib | Po Box 9, Farmington, CT 06034-0009 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on TERRY L CONRAD.
| 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).