PETRENA A WALLACE KING (Credential# 1243271) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 3, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.
PETRENA A WALLACE KING is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.039111. The credential type is licensed practical nurse. The effective date is November 3, 2014. The expiration date is November 30, 2015. The business address is 303 Maple St Apt 229, Springfield, MA 01105-1989. The current status is inactive.
| Licensee Name | PETRENA A WALLACE KING |
| Credential ID | 1243271 |
| Credential Number | 11.039111 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
303 Maple St Apt 229 Springfield MA 01105-1989 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-11-03 |
| Effective Date | 2014-11-03 |
| Expiration Date | 2015-11-30 |
| Refresh Date | 2016-03-04 |
| Street Address | 303 MAPLE ST APT 229 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1989 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Hardcastle | 34 Sterns Terrace, Springfield, MA 01105 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Michael P Noonan | 81 Mulberry Street, Springfield, MA 01105 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| David A Mech | 1 Crescent Hill, Springfield, MA 01105 | Notary Public Appointment | 2016-11-01 ~ 2021-10-31 |
| Eric Michael Gaboury | 41 Rutledge Avenue, Springfield, MA 01105 | Notary Public Appointment | 2016-08-22 ~ 2021-08-31 |
| Marilu Medina-cirilo | 95 Federal St, Apt 2a, Springfield, MA 01105 | Notary Public Appointment | 2019-04-01 ~ 2024-04-30 |
| Agapito Carrazco | 352 Albany Street, Springfield, MA 01105 | Asbestos Abatement Worker | 2019-12-01 ~ 2020-11-30 |
| Kathleen R Baye | 327 Maple Street, Springfield, MA 01105 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Mitchell I Clionsky | 155 Maple St Suite 203, Springfield, MA 01105 | Psychologist | 2019-10-01 ~ 2020-09-30 |
| Maria Altagracia Gomez | 66 Oswego St, Springfield, MA 01105 | Tax Preparer/facilitator Permit | 2019-01-09 ~ 2021-01-31 |
| William H Ingalls Jr | 60 Pearl St Apt 4d, Springfield, MA 01105 | Home Improvement Salesperson | ~ 1992-11-01 |
| Find all Licenses in zip 01105 | |||
| City | SPRINGFIELD |
| Zip Code | 01105 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wallace E Williams | P O Box 531, Ayden, NC 28513 | Licensed Practical Nurse | 1996-12-23 ~ 1998-01-31 |
| Margaret S Wallace | 20 Beech Rd, Tolland, CT 06084 | Licensed Practical Nurse | 1995-10-11 ~ 1996-12-31 |
| Tammy M Wallace | 59 Terrace Rd, Milford, CT 06460-7771 | Licensed Practical Nurse | 2020-03-23 ~ 2020-10-31 |
| Mary Ann Wallace | 91 Sylvan St, Avon, CT 06001 | Licensed Practical Nurse | 2000-02-24 ~ 2001-03-31 |
| Cardene C Wallace | 69 Pleasant St, New Rochelle, NY 10801 | Licensed Practical Nurse | 2019-02-01 ~ 2020-01-31 |
| Byron Wallace | 54 Amanda Cir, Windsor, CT 06095-3464 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Valerie M Wallace | Po Box 1513, Hartford, CT 06144 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sandra I Ramirez | 8 Wallace Row Fl 2, Wallingford, CT 06492-3137 | Licensed Practical Nurse | 2019-05-01 ~ 2020-04-30 |
| Adrienne Wallace | 57 Lousiana Ave, Bristol, CT 06010 | Licensed Practical Nurse | 2006-10-18 ~ 2007-11-30 |
| Marc H Seide | 128 Wallace Rd, Brunswick, GA 31520-1331 | Licensed Practical Nurse | 2015-05-01 ~ 2016-04-30 |
Please comment or provide details below to improve the information on PETRENA A WALLACE KING.
| 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).