ERICA L. DOUGLAS (Credential# 1226239) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 13, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
ERICA L. DOUGLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.121411. The credential type is registered nurse. The effective date is August 13, 2014. The expiration date is July 31, 2015. The business address is 2015 Highway 472, Hazlehurst, MS 39083-9177. The current status is inactive.
| Licensee Name | ERICA L. DOUGLAS |
| Credential ID | 1226239 |
| Credential Number | 10.121411 |
| Credential Type | Registered Nurse |
| Business Address |
2015 Highway 472 Hazlehurst MS 39083-9177 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-08-13 |
| Effective Date | 2014-08-13 |
| Expiration Date | 2015-07-31 |
| Refresh Date | 2015-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1228295 | 10.119517-TEMP | Registered Nurse - Temporary | 2014-06-10 | 2014-06-10 - 2014-10-07 | INACTIVE |
| Street Address | 2015 HIGHWAY 472 |
| City | HAZLEHURST |
| State | MS |
| Zip Code | 39083-9177 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| G & T Pharmaceuticals Inc · Cme Pharmacy | 148 A West Green St, Hazelhurst, MS 39083 | Nonresident Pharmacy | 2014-09-03 ~ 2015-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irene G Nuqui | 25 Third Ave., Hazlehurst, GA 31539-6760 | Physical Therapist | 2012-06-01 ~ 2013-05-31 |
| Phyllis C Williams · Carter | 16 Lovers Leap, Hazlehurst, GA 31539 | Registered Nurse | 2006-01-05 ~ 2006-09-30 |
| City | HAZLEHURST |
| Zip Code | 39083 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + HAZLEHURST |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica L Jacobson | 147 Douglas Park Mews Se, Alberta, T2Z 2K9 | Registered Nurse | 2003-01-03 ~ 2003-07-31 |
| Erica Lane | 3 Erica Lane, Wolcott, CT 06716 | Community Living Arrangement | 2018-11-01 ~ 2020-10-31 |
| Erica G Bravo | 24 New St, Danbury, CT 06810-6520 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Erica L Smith | 225 Day St, Brooklyn, CT 06234 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Erica L Hertzog | 451 5th St N, Winsted, MN 55395-1022 | Registered Nurse | 2015-09-11 ~ 2016-02-29 |
| Erica L Choiniere | Po Box 504, Wauregan, CT 06387-0504 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Erica B Carlson | Po Box 833, Stowe, VT 05672 | Registered Nurse | 2008-11-19 ~ 2009-11-30 |
| Erica L Russell | Po Box 361, Westerly, RI 02891-0361 | Registered Nurse | 2015-01-01 ~ 2015-12-31 |
| Erica A Onofreo | 99 Forestview Dr, Wolcott, CT 06716-1824 | Registered Nurse | ~ |
| Erica Harb | 9 Symor Dr, Morristown, NJ 07960-6560 | Registered Nurse | 2019-08-02 ~ 2020-08-31 |
Please comment or provide details below to improve the information on ERICA L. DOUGLAS.
| 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).