KERRY R STEPHENSON APRN (Credential# 681832) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
KERRY R STEPHENSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003654. The credential type is advanced practice registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 12 Connolly Dr, Old Saybrook, CT 06475-1162. The current status is active.
Licensee Name | KERRY R STEPHENSON APRN |
Credential ID | 681832 |
Credential Number | 12.003654 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
12 Connolly Dr Old Saybrook CT 06475-1162 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2007-08-17 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-03-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
581778 | 10.077776 | Registered Nurse | 2006-02-21 | 2020-05-01 - 2021-04-30 | ACTIVE |
483672 | CSP.0042653 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 12 CONNOLLY DR |
City | OLD SAYBROOK |
State | CT |
Zip Code | 06475-1162 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristen C Hespeler | 20 Connally Dr, Old Saybrook, CT 06475-1162 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
Chris J Ragavanis | 18 Connolly Dr, Old Saybrook, CT 06475-1162 | Electrical Unlimited Journeyperson | 2017-01-09 ~ 2017-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06475 |
City | OLD SAYBROOK |
Zip Code | 06475 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + OLD SAYBROOK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kerry A Petrello | 125 Geddes Ter, Waterbury, CT 06708-4707 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Kerry-ann A Dudley | 192 Colonial St, Oakville, CT 06779 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Kerry L Ray | 32 Graenest Ridge Rd, Wilton, CT 06897-2928 | Advanced Practice Registered Nurse | 2019-07-01 ~ 2020-06-30 |
Kerry Puglia | 53 Old Hill Road, Westport, CT 06880 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kerry Mccray | 10230 Cloverlea Ct, Mechanicsville, VA 23116-5104 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Kerry A Daniels | 46 Wadsworth Street, Hamden, CT 06517 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Kerry Ann S Mcfarquhar | 60 Greenwich Avenue, Central Valley, NY 10917 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
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 |
Kyuwon Yu Aprn | 24 Hospital Ave, Danbury, CT 06810-6077 | Advanced Practice Registered Nurse | 2007-05-07 ~ 2008-06-30 |
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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).