THOMAS M GRIM (Credential# 1136218) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is December 11, 2012. The license expiration date date is April 10, 2013. The license status is INACTIVE.
THOMAS M GRIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.109327-TEMP. The credential type is registered nurse - temporary. The effective date is December 11, 2012. The expiration date is April 10, 2013. The business address is 1491 N 2nd Dr, Stevens Point, WI 54482-9661. The current status is inactive.
| Licensee Name | THOMAS M GRIM |
| Credential ID | 1136218 |
| Credential Number | 10.109327-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
1491 N 2nd Dr Stevens Point WI 54482-9661 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2012-12-11 |
| Effective Date | 2012-12-11 |
| Expiration Date | 2013-04-10 |
| Refresh Date | 2013-04-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1135598 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 1491 N 2ND DR |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54482-9661 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Spb LLC · Stevens Point Brewery | 2617 Water St, Stevens Point, WI 54481-5232 | Out of State Winery | 2020-05-01 ~ 2021-04-30 |
| Ki Mobility | 5201 Woodward Dr, Stevens Point, WI 54481 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Lynsey Konkol | 1265 Main St, Stevens Point, WI 54481-2884 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Sally Rachel Johnson | 108 Mill Road Ct, Stevens Point, WI 54481-6328 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Mary R Dombeck Dvm | 750 Granite Ridge Rd, Stevens Point, WI 54481-9676 | Controlled Substance Registration for Practitioner | 2011-06-14 ~ 2013-02-28 |
| Jennifer A Fandre | 1809 Welsby Ave, Stevens Point, WI 54481 | Registered Nurse | 2009-08-01 ~ 2010-07-31 |
| Victoria M Soroko | 740 W River Dr, Stevens Point, WI 54481-3348 | Registered Nurse - Temporary | 2009-11-18 ~ 2010-03-18 |
| Sunrise Medical Division | 5001 Joerns Dr, Stevens Point, WI 54481 | Manufacturer of Bedding & Upholstered Furniture | 1997-08-07 ~ 1998-04-30 |
| City | STEVENS POINT |
| Zip Code | 54482 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + STEVENS POINT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grim Builders LLC | 13 Melanie Ln, Gales Ferry, CT 06335-1335 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Denise L Grim | 606 Rt 163, Oakdale, CT 06370 | Registered Nurse | 2001-05-21 ~ 2002-07-31 |
| Thomas Grim | 21 Oakwood Drive, Seymour, CT 06483 | Medication Administration Certification | 2019-02-17 ~ 2021-02-16 |
| Dillon Taylor Grim | 691 Sw 11th St, Moore, OK 73160 | Registered Nurse | 2017-07-06 ~ 2018-05-31 |
| Thomas S Lis-parker | Po Box 52, South Lee, MA 01260-0052 | Registered Nurse - Temporary | 2011-12-16 ~ 2012-04-14 |
| Michelle N Thomas | 313 Ash Ave, Ft. Knox, KY 40121 | Registered Nurse - Temporary | 2014-11-18 ~ 2015-03-17 |
| Thomas Mariano | 479 Delavan Ave., Newark, NJ 07107 | Registered Nurse - Temporary | 2015-02-27 ~ 2015-06-26 |
| Ashley Tabron | 97 N Thomas Rd, Tallmadge, OH 44278-1701 | Registered Nurse - Temporary | 2019-11-06 ~ 2020-03-05 |
| Patrice-lou M Thomas | 777 Remsen Ave, Brooklyn, NY 11236-1423 | Registered Nurse - Temporary | 2009-08-05 ~ 2009-12-03 |
| Johna L Sudduth | 224 Thomas St, Frankfort, KY 40601-8693 | Registered Nurse - Temporary | 2013-01-03 ~ 2013-05-03 |
Please comment or provide details below to improve the information on THOMAS M GRIM.
| 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).