Kayleen Bastiaanse Aprn Controlled Substance Registration for Practitioner
47 Wyoming Ave, Torrington, CT 067906039


Kayleen Bastiaanse Aprn is licensed in the eLicensing system of Connecticut. The license credential ID is 206907. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 47 Wyoming Ave, Torrington, CT 067906039. The zip code is 06790.


Kayleen Bastiaanse Aprn · 47 Wyoming Ave, Torrington, CT 067906039

Credential ID 206907
Name KAYLEEN BASTIAANSE APRN
Type INDIVIDUAL
Address 47 WYOMING AVE
TORRINGTON, CT 067906039
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0027833
Credential Type CSP
Credential Number 27833
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 01/21/201

KAYLEEN BASTIAANSE APRN · Connecticut Business

Kayleen Bastiaanse Aprn · Advanced Practice Registered Nurse 47 Wyoming Ave, Torrington, CT 067906039
Kayleen Bastiaanse Aprn · Registered Nurse 47 Wyoming Ave, Torrington, CT 067906039

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