JODIE L BROUGHTON
Registered Nurse


Address: 20 Mildred Ln, Latham, NY 12110-3502

JODIE L BROUGHTON (Credential# 1046594) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.

Business Overview

JODIE L BROUGHTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.103831. The credential type is registered nurse. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 20 Mildred Ln, Latham, NY 12110-3502. The current status is inactive.

Basic Information

Licensee Name JODIE L BROUGHTON
Credential ID 1046594
Credential Number 10.103831
Credential Type Registered Nurse
Business Address 20 Mildred Ln
Latham
NY 12110-3502
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-01-10
Effective Date 2012-08-01
Expiration Date 2013-07-31
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1046638 10.103675-TEMP Registered Nurse - Temporary 2011-12-30 2011-12-30 - 2012-04-28 INACTIVE

Office Location

Street Address 20 MILDRED LN
City LATHAM
State NY
Zip Code 12110-3502

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Brian F Caney 4 St. Ambrose Ln, Latham, NY 12110 Professional Engineer 2020-05-22 ~ 2019-01-31
Pepsi-cola Albany Bottling Company One Pepsi-cola Dr, Latham, NY 12110 Non-alcoholic Beverage & Water Bottlers 2020-07-01 ~ 2021-06-30
Prism Medical Products LLC 900 Albany Shaker Rd Ste#1, Latham, NY 12110 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Kimberly A Harrison 179 Old Loudon Rd, Latham, NY 12110 Registered Nurse 2020-06-01 ~ 2021-05-31
John Burke 25 British American Blvd, Latham, NY 12110 Tax Preparer/facilitator Permit 2020-03-29 ~ 2022-03-31
Matthew James Carras 25 British American Blvd., Latham, NY 12110 Tax Preparer/facilitator Permit 2020-03-22 ~ 2022-03-31
Thomas R Johnson 21 Cimarron Way, Latham, NY 12110 Professional Engineer 2020-02-01 ~ 2021-01-31
Jason Mallette 25 British Americn Blvd, Latham, NY 12110 Tax Preparer/facilitator Permit 2020-02-21 ~ 2022-02-28
Daniel P Cavanagh 22 West Glenwood Drive, Latham, NY 12110 Registered Nurse 2012-01-01 ~ 2012-12-31
Michael Mauriello 25 British American Boulevard, Latham, NY 12110 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Find all Licenses in zip 12110

Competitor

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City LATHAM
Zip Code 12110
License Type Registered Nurse
License Type + County Registered Nurse + LATHAM

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Dataset Information

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).

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