ANGELINE R REQUILMAN (Credential# 1119894) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
ANGELINE R REQUILMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.111459. The credential type is registered nurse. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 1710 Elm Cir Apt L83, Gallup, NM 87301-5873. The current status is inactive.
| Licensee Name | ANGELINE R REQUILMAN |
| Credential ID | 1119894 |
| Credential Number | 10.111459 |
| Credential Type | Registered Nurse |
| Business Address |
1710 Elm Cir Apt L83 Gallup NM 87301-5873 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-06-10 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| Street Address | 1710 ELM CIR APT L83 |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5873 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lorraine Almo | 3702 Bonito Court, Gallup, NM 87301 | Registered Nurse | 2010-09-01 ~ 2011-08-31 |
| Betty S Thomas | 1705 Linda Dr, Gallup, NM 87301 | Registered Nurse | 1992-10-23 ~ 1993-10-31 |
| Patricia Acosta | 107 East Hill Ave, Gallup, NM 87301 | Respiratory Care Practitioner | ~ 1997-11-30 |
| Taiwo O Ehiman | 1716 Boulder Road, Gallup, NM 87301 | Registered Nurse | ~ 1999-08-31 |
| Melisa A Hemingway | 2003 West Highway 66, Gallup, NM 87301 | Occupational Therapist Assistant | 2005-07-12 ~ 2007-07-31 |
| Jack B Fralinger Md | 1085 Rancho Road, Gallup, NM 87301 | Controlled Substance Registration for Practitioner | 2006-02-28 ~ 2007-02-28 |
| Ankit Doshi | 1127 Boggio Dr, Gallup, NM 87301-4973 | Physician/surgeon | 2020-05-28 ~ 2020-09-30 |
| Catherine Bobea | 941 Cerrito Dr, Gallup, NM 87301-5421 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Colleen Marie Fischman | 211 S Puerco Dr Apt C, Gallup, NM 87301-6084 | Optometrist | 2020-04-19 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William W Bryant | Po Box 5010, Gallup, NM 87305 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| City | GALLUP |
| Zip Code | 87301 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + GALLUP |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angeline Mae Feranil | 22 Alger Pl, New London, CT 06320-4804 | Registered Nurse | ~ |
| Angeline Miles | 520 Kenwood Ave, Delmar, NY 12054 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Angeline C Wagner | 99 Merigold Dr, New Britain, CT 06053 | Registered Nurse | 1996-05-08 ~ 1997-04-30 |
| Angeline Quinones | 5 Flower St, New Rochelle, NY 10801-7506 | Registered Nurse | 2015-09-01 ~ 2016-08-31 |
| Angeline F Karl | 18 Forest Rd, Wallingford, CT 06492 | Registered Nurse | 1992-09-24 ~ 1993-08-31 |
| Angeline M Guiliano | 116 Wolcott St, Waterbury, CT 06705-1143 | Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Angeline D Petruny | 14 Wayne Rd, Wallingford, CT 06492 | Registered Nurse | 1994-09-27 ~ 1995-10-31 |
| Angeline M Brault | 29 Morin Drive, Easthampton, MA 01027 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Angeline N Lessard | 345 Jones Street, Canada V2j 2w7 | Registered Nurse | ~ 1999-07-31 |
| Angeline B Pamphile | 45 A Fairhaven Road, Niantic, CT 06357 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANGELINE R REQUILMAN.
| 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).