LORI M VAN GORKOM (Credential# 1079684) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.
LORI M VAN GORKOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.106496. The credential type is registered nurse. The effective date is May 1, 2015. The expiration date is April 30, 2016. The business address is 210 3rd Ave Ne, Kulm, ND 58456-7301. The current status is inactive.
Licensee Name | LORI M VAN GORKOM |
Credential ID | 1079684 |
Credential Number | 10.106496 |
Credential Type | Registered Nurse |
Business Address |
210 3rd Ave Ne Kulm ND 58456-7301 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-07-03 |
Effective Date | 2015-05-01 |
Expiration Date | 2016-04-30 |
Refresh Date | 2016-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
903579 | 10.091378-TEMP | Registered Nurse - Temporary | 2009-11-12 | 2009-11-12 - 2010-03-12 | INACTIVE |
905609 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
Street Address | 210 3RD AVE NE |
City | KULM |
State | ND |
Zip Code | 58456-7301 |
City | KULM |
Zip Code | 58456 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + KULM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lori A Dievert | 62 Lori Lane, Meriden, CT 06450 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
Lori S Salonia | 4 Bow La, Cromwell, CT 06416 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Lori B Dakin | P.o. Box 297, Woodstock, CT 06281 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
Lori A Labonte | 14 Bar Will Dr, Meriden, CT 06450-3437 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Lori A Walmsley | Placeholder, CT | Registered Nurse | 2003-08-07 ~ 2004-05-31 |
Lori A Generali | 822 S End Rd, Plantsville, CT 06479-2016 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Lori L Martin | Po Box 822, Bunnell, FL 32110-0822 | Registered Nurse | 2012-02-01 ~ 2013-01-31 |
Lori S Hannum | Po Box 16, Whately, MA 01093-0016 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
Lori J Shultz | Box 193, Lake Ann, MI 49650 | Registered Nurse | 1999-06-11 ~ 2000-02-29 |
Lori Ann Roling | 159 N 3rd St, Macclenny, FL 32063-2103 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
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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).