JACQUE L WALLER (Credential# 1179516) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.
JACQUE L WALLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.113497. The credential type is registered nurse. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 85 Tygert Ln, Dekalb, IL 60115-8260. The current status is inactive.
| Licensee Name | JACQUE L WALLER |
| Credential ID | 1179516 |
| Credential Number | 10.113497 |
| Credential Type | Registered Nurse |
| Business Address |
85 Tygert Ln Dekalb IL 60115-8260 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-09-05 |
| Effective Date | 2017-10-01 |
| Expiration Date | 2018-09-30 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1181246 | 10.113206-TEMP | Registered Nurse - Temporary | 2013-08-22 | 2013-08-22 - 2013-12-19 | INACTIVE |
| Street Address | 85 TYGERT LN |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-8260 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Northern Illinois University Foundation | 595 College Avenue, Dekalb, IL 60115 | Public Charity | 2020-05-14 ~ 2021-05-31 |
| Christina Murray Jones | 127 Ilehamwood Dr., Dekalb, IL 60115 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Robin M Uili | 810 N 10th Street, Dekalb, IL 60115 | Physical Therapist | 1992-02-24 ~ 1993-01-31 |
| Christine S Wilhelm | 227 N 1st Street, #7, Dekalb, IL 60115 | Registered Nurse | 2005-05-10 ~ 2005-11-30 |
| William S Sebree II | 302 E Lincoln Hwy #213, Dekalb, IL 60115 | Heating, Piping & Cooling Limited Journeyperson | 2000-11-21 ~ 2001-08-31 |
| Sarah E Haeseker | 102 Pooler Avenue, Dekalb, IL 60115 | Pharmacy Intern | 2005-06-28 ~ 2006-09-30 |
| Shilpa T Baxamusa | 2902 Wedgewood Drive, Dekalb, IL 60115 | Pharmacist | 2001-02-01 ~ 2002-01-31 |
| Carrie L Garner | 807 Ridge Dr Apt 701, Dekalb, IL 60115-1342 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| United Leukodystrophy Foundation Inc. | 224 N 2nd St Ste 2, Dekalb, IL 60115-3293 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Lorelie J Van Raalte | 837 W Taylor St # 118, Dekalb, IL 60115-4078 | Registered Nurse - Temporary | 2013-04-10 ~ 2013-08-07 |
| Find all Licenses in zip 60115 | |||
| City | DEKALB |
| Zip Code | 60115 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + DEKALB |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacque Maxine Jochim | 2740 Alvarado Ter S, Salem, OR 97302-5432 | Registered Nurse | 2018-10-11 ~ 2019-06-30 |
| Jacque Melinda Rowland | 1011 Salem Road, Conway, AR 72034 | Registered Nurse - Temporary | 2020-03-23 ~ 2020-07-21 |
| Jacque Dury Rully | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-10-15 ~ 2004-10-14 |
| Yuliya Waller | 75 Collier Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Wendi C Waller | 62 Bigelow Rd, Colchester, CT 06415 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Ebone Spooner | 90 Waller Rd, Bridgeport, CT 06606-1041 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Erin J Plourde | 16 Waller Ave, Wolcott, CT 06716 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacque A Francois | 96 Union Ave, West Haven, CT 06516-5048 | Licensed Practical Nurse | ~ |
| Sylvia A Waller | 15 West Court, Derby, CT 06418 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Daniela S Waller · Sacchetti | 105 Richards Ave, Norwalk, CT 06859 | Registered Nurse | 2004-01-21 ~ 2005-03-31 |
Please comment or provide details below to improve the information on JACQUE L WALLER.
| 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).