ROBERT PENATE (Credential# 682167) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 9, 2008. The license expiration date date is October 31, 2009. The license status is INACTIVE.
ROBERT PENATE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003989. The credential type is advanced practice registered nurse. The effective date is December 9, 2008. The expiration date is October 31, 2009. The business address is 39230 Longs Peak Ct., Ault, CO 80610. The current status is inactive.
| Licensee Name | ROBERT PENATE |
| Credential ID | 682167 |
| Credential Number | 12.003989 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
39230 Longs Peak Ct. Ault CO 80610 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-12-09 |
| Effective Date | 2008-12-09 |
| Expiration Date | 2009-10-31 |
| Refresh Date | 2010-03-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 591074 | 10.087072 | Registered Nurse | 2008-10-23 | 2008-10-23 - 2009-10-31 | INACTIVE |
| Street Address | 39230 Longs Peak Ct. |
| City | Ault |
| State | CO |
| Zip Code | 80610 |
| City | Ault |
| Zip Code | 80610 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Ault |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert S Simkins | 466 N Salina St Apt 7, Syracuse, NY 13203-1837 | Advanced Practice Registered Nurse | ~ |
| Robert T Love | 15 Hamilton Rd, Peabody, MA 01960-2128 | Advanced Practice Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Robert G Ripper IIi | 779 Hancock Street, Westfield, NJ 07090 | Advanced Practice Registered Nurse | 2006-02-03 ~ 2007-01-31 |
| Robert Richard Pugliese | 72 Maple St., Bristol, CT 06010 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Robert S Dickerson | John Dempsey Hospital, Farmington, CT 06030 | Advanced Practice Registered Nurse | 2019-03-01 ~ 2020-02-29 |
| Robert J Mccomas | 2120 Sw 47th Ter, Cape Coral, FL 33914-6741 | Advanced Practice Registered Nurse | 2018-04-01 ~ 2019-03-31 |
| Robert Anthony Wisdom | 1841 Sw Via Rossa, Port St Lucie, FL 34953 | Advanced Practice Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jacqueline M Havriliak | P O Box 427, Wayne, PA 19087 | Advanced Practice Registered Nurse | 2002-01-14 ~ 2003-02-28 |
| Ricky G Ewell II | 177 9th Ave Apt 5d, New York, NY 10011-4974 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on ROBERT PENATE.
| 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).