SHELLY A WALLIS
Registered Nurse - Temporary


Address: 544 Lone Rock Dr, Norfork, AR 72658-8918

SHELLY A WALLIS (Credential# 1178712) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is August 7, 2013. The license expiration date date is December 4, 2013. The license status is INACTIVE.

Business Overview

SHELLY A WALLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.112862-TEMP. The credential type is registered nurse - temporary. The effective date is August 7, 2013. The expiration date is December 4, 2013. The business address is 544 Lone Rock Dr, Norfork, AR 72658-8918. The current status is inactive.

Basic Information

Licensee Name SHELLY A WALLIS
Credential ID 1178712
Credential Number 10.112862-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 544 Lone Rock Dr
Norfork
AR 72658-8918
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2013-08-07
Effective Date 2013-08-07
Expiration Date 2013-12-04
Refresh Date 2013-12-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1178465 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 544 LONE ROCK DR
City NORFORK
State AR
Zip Code 72658-8918

Competitor

Search similar business entities

City NORFORK
Zip Code 72658
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + NORFORK

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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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