ADAH B COBURN (Credential# 1071748) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.
ADAH B COBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.040995. The credential type is licensed practical nurse. The effective date is December 1, 2017. The expiration date is November 30, 2018. The business address is 3604 Diamond Ln, Northport, AL 35473-2634. The current status is inactive.
| Licensee Name | ADAH B COBURN |
| Credential ID | 1071748 |
| Credential Number | 11.040995 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
3604 Diamond Ln Northport AL 35473-2634 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-07-12 |
| Effective Date | 2017-12-01 |
| Expiration Date | 2018-11-30 |
| Refresh Date | 2019-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 898372 | 11 | Licensed Practical Nurse | - | EXPIRED APPLICATION |
| Street Address | 3604 DIAMOND LN |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-2634 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randy E Bullard | 4237 Harper Circle, Northport, AL 35473 | Radiographer | 2002-01-04 ~ 2003-01-31 |
| Sandra Ultsch | 4603 Magnolia Lane, Northport, AL 35473 | Registered Nurse | 1966-09-02 ~ 1967-08-31 |
| Sidney D Richardson | 9420 Cleveland Road, Northport, AL 35473 | Registered Nurse | 2003-08-04 ~ 2004-07-31 |
| Douglas E Larkin | 10738 Albert Sanders Road, Northport, AL 35473 | Registered Nurse | 2002-11-12 ~ 2003-12-31 |
| Stephen D Pate | 800 Energy Center Blvd, Apt. 211, Northport, AL 35473 | Registered Nurse | 2003-10-20 ~ 2004-10-31 |
| Shanna C Larkin | 10738 Albert Sanders Road, Northport, AL 35473 | Registered Nurse | 2002-10-22 ~ 2003-12-31 |
| Brian M Pate | 4900 Lakeview Estates Dr, Northport, AL 35473-1609 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Thorne | 46 Ellis Ave, Northport, NY 11768-1209 | Registered Nurse | ~ |
| Jacqueline Ann Thorne | 40 Valleyview Dr, Northport, NY 11768-2329 | Registered Nurse | 2020-06-05 ~ 2021-04-30 |
| Ryan L Kleinkopf | 21 Lorraine Court, Northport, NY 11768 | Emergency Medical Technician | ~ |
| Kerry Lowth | 45 Hastings Dr, Northport, NY 11768-2512 | Home Improvement Salesperson | 2020-03-11 ~ 2020-11-30 |
| Vested Realty Group Ltd | 24 Woodbine Ave Ste 204, Northport, NY 11768-2878 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Michael A Memoli | 51 Heights Rd, Northport, NY 11768 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Kenneth W Bossung | 88 Laurel Hill Road, Northport, NY 11768 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Grace Brown | 19 Essex Drive, Northport, NY 11768 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kaitlyn M Mehern | 13 Deauville Ct, Northport, NY 11768-2105 | Controlled Substance Registration for Practitioner | 2018-10-16 ~ 2021-02-28 |
| Susan E Barnard · Egan | 483 Shore Rd, Northport, ME 04849 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in NORTHPORT | |||
| City | NORTHPORT |
| Zip Code | 35473 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + NORTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Genevieve Coburn | 92 Shepard St Fl 1, New Haven, CT 06511-1136 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Veronica Puzzo | 16 Coburn Circle, Newington, CT 06111 | Licensed Practical Nurse | 2011-10-01 ~ 2012-09-30 |
| Michele P Vickers · Coburn | 943 South Avenue, New Canaan, CT 06840 | Licensed Practical Nurse | 2005-06-07 ~ 2006-07-31 |
| Martha M Coburn | 32 Grove Road, North Haven, CT 06473 | Licensed Practical Nurse | 2008-11-14 ~ 2010-01-31 |
| Adah F Wright · Franklin | 12026 15th Ave., Seattle, WA 98125 | Licensed Clinical Social Worker | 1996-05-08 ~ 1997-05-31 |
| Adah B Murphy | 127 Pilgrim Rd, Bristol, CT 06010 | Registered Nurse | 1995-04-11 ~ 1996-01-31 |
| Andrea R Karpency | 1002 Palmer Rd, Adah, PA 15410-1196 | Registered Nurse - Temporary | 2013-11-20 ~ 2014-03-19 |
| John R Coburn · Coburn Architecture | 51 Strong Pl, Brooklyn, NY 11231 | Architect | 2000-08-08 ~ 2001-07-31 |
| Coburn Construction | 42 Whitney Ave, New Canaan, CT 06840 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Frederick W Coburn | 72 Meetinghouse Rdg # 103, Meriden, CT 06450-7229 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on ADAH B COBURN.
| 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).