EDDIE A MANLEY APRN (Credential# 999495) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 31, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
EDDIE A MANLEY APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050227. The credential type is controlled substance registration for practitioner. The effective date is May 31, 2011. The expiration date is February 28, 2013. The business address is 506 Linda Dr, Hopkinsville, KY 42240-3957. The current status is inactive.
| Licensee Name | EDDIE A MANLEY APRN |
| Credential ID | 999495 |
| Credential Number | CSP.0050227 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
506 Linda Dr Hopkinsville KY 42240-3957 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-05-31 |
| Effective Date | 2011-05-31 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-07-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 995844 | 10.099728 | Registered Nurse | 2011-05-18 | 2011-05-18 - 2011-08-31 | INACTIVE |
| 996015 | 12.004666 | Advanced Practice Registered Nurse | 2011-05-18 | 2011-05-18 - 2011-08-31 | INACTIVE |
| 995911 | 10.099479-TEMP | Registered Nurse - Temporary | 2011-05-02 | 2011-05-02 - 2011-08-30 | INACTIVE |
| Street Address | 506 LINDA DR |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-3957 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael G Faulkner | 117 Shadowood Trail, Hopkinsville, KY 42240 | Engineer-in-training | 2005-11-15 ~ 2015-11-15 |
| Francis E Cassidy | 3702 Bahama Dr, Hopkinsville, KY 42240 | Electrical Unlimited Contractor | 2008-10-01 ~ 2009-09-30 |
| Amanda S Savage | 3415 Ginger Dr, Hopkinsville, KY 42240 | Registered Nurse | 1994-10-11 ~ 1995-10-31 |
| Brett J Armer | 1004 Walnut Court, Hopkinsville, KY 42240 | Registered Nurse | 2006-05-01 ~ 2007-05-31 |
| Barbara A Mikicki | Western State Hosp, Hopkinsville, KY 42240 | Physician/surgeon | 1994-12-19 ~ 1995-12-31 |
| Cory Allen Mayes | 525 Linda Dr, Hopkinsville, KY 42240-3956 | Registered Nurse | 2019-10-11 ~ 2020-08-31 |
| Rachael Marie Mayes | 525 Linda Dr, Hopkinsville, KY 42240-3956 | Registered Nurse | 2019-12-06 ~ 2020-03-31 |
| Robert P Savage | 3415 Ginger Drive, Hopkinsville, KY 42240-3965 | Registered Nurse | 1999-09-17 ~ 2000-11-30 |
| Barry B Allen | 216 Donna Dr, Hopkinsville, KY 42240-5218 | Registered Nurse | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert H Mundy | Po Box 387, Hopkinsville, KY 42241 | Registered Sanitarian | 2001-04-19 ~ 2002-06-30 |
| City | HOPKINSVILLE |
| Zip Code | 42240 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HOPKINSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher Woll | 366 Manley Heights Rd., Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristen M Crowley | 366 Manley Heights Road, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John C Manley Md | 52 High Meadow Lane, Middlefield, CT 06455 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eddie K Mark | 3259 San Jose Ave, Alameda, CA 94501-4863 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Raquel N Manley | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Sheryl A Lowman Aprn | 8 Fox Run, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gale Banks Aprn | 39 Elm St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Evelyn J Lai Aprn | 83 Nicoll St, New Haven, CT 06511-2621 | Controlled Substance Registration for Practitioner | 2011-09-02 ~ 2013-02-28 |
Please comment or provide details below to improve the information on EDDIE A MANLEY 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).