KAREN JANE M MODOMO (Credential# 1219182) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 2, 2014. The license expiration date date is September 30, 2015. The license status is INACTIVE.
KAREN JANE M MODOMO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.121768. The credential type is registered nurse. The effective date is September 2, 2014. The expiration date is September 30, 2015. The business address is 4701 Lakeland Dr Apt 23d, Flowood, MS 39232-9731. The current status is inactive.
| Licensee Name | KAREN JANE M MODOMO |
| Credential ID | 1219182 |
| Credential Number | 10.121768 |
| Credential Type | Registered Nurse |
| Business Address |
4701 Lakeland Dr Apt 23d Flowood MS 39232-9731 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-09-02 |
| Effective Date | 2014-09-02 |
| Expiration Date | 2015-09-30 |
| Refresh Date | 2016-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1222785 | 10.118803-TEMP | Registered Nurse - Temporary | 2014-05-15 | 2014-05-15 - 2014-09-11 | INACTIVE |
| Street Address | 4701 LAKELAND DR APT 23D |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9731 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenda Dee Cohen | 1140 Independence Blvd, Flowood, MS 39232 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Stephanie Jo Cannada | 264 Bellamy Court, Flowood, MS 39232 | Occupational Therapist | 2018-02-09 ~ 2019-07-31 |
| Kathleen J Leahy | 1831 Hwy A1a, Indian Harbor Bch, FL 39232 | Registered Nurse | 2000-02-01 ~ 2001-03-31 |
| Steel Service Corp · Msc.00398 | Po Box 321425, Jackson, MS 39232 | Major Contractor | 2004-07-01 ~ 2005-06-30 |
| Dennis Michael Demesa | 414 Westport Way, Flowood, MS 39232-7527 | Registered Nurse | 2019-03-01 ~ 2020-03-31 |
| Noble Health Services Inc · Transcript Pharmacy | 2506 Lakeland Dr Ste 201, Flowood, MS 39232-7656 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| F & M Specialty Pharmacy | 117 Luckney Station Rd, Flowood, MS 39232-8402 | Nonresident Pharmacy | 2019-11-21 ~ 2020-08-31 |
| City | FLOWOOD |
| Zip Code | 39232 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + FLOWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Jane P Beswilen | 7 Turner Ave, Trumbull, CT 06611-3530 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Karen Jane Ricciardi | 12 Old Black Point Rd, Niantic, CT 06357 | Interior Designer | 2018-01-01 ~ 2018-12-31 |
| Karen N West | 5 Jane St, Beacon Falls, CT 06403-1511 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Karen N West | 5 Jane Street, Beacon Falls, CT 06403 | Notary Public Appointment | 2016-02-01 ~ 2021-01-31 |
| Jane L Orf | 30 Aimee Dr, Pawcatuck, CT 06379 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Amy M Bellisario | 425 Jane Ct, Lemont, IL 60439-9315 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jane M Lo Presti | 40 Rt 164, Preston, CT 06365 | Registered Nurse | 1993-09-23 ~ 1994-11-30 |
| Jane A Gomprecht | 14 Second Ave, Ossining, NY 10562 | Registered Nurse | 1996-07-15 ~ 1997-07-31 |
| Jane L Solak | Po Box 868, Storrs, CT 06268 | Registered Nurse | 2015-11-01 ~ 2016-10-31 |
| Jane F Mccarthy | 218 Joy Rd, Woodstock, CT 06281 | Registered Nurse | 2004-03-30 ~ 2005-04-30 |
Please comment or provide details below to improve the information on KAREN JANE M MODOMO.
| 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).