JENNIE M ROADT
Licensed Practical Nurse


Address: Po Box 457, Butternut, WI 54514-0457

JENNIE M ROADT (Credential# 1257546) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 2, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.

Business Overview

JENNIE M ROADT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.039221. The credential type is licensed practical nurse. The effective date is January 2, 2015. The expiration date is January 31, 2016. The business address is Po Box 457, Butternut, WI 54514-0457. The current status is inactive.

Basic Information

Licensee Name JENNIE M ROADT
Credential ID 1257546
Credential Number 11.039221
Credential Type Licensed Practical Nurse
Business Address Po Box 457
Butternut
WI 54514-0457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-01-02
Effective Date 2015-01-02
Expiration Date 2016-01-31
Refresh Date 2016-05-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1260179 11.039201-TEMP Licensed Practical Nurse - Temporary 2014-12-23 2014-12-23 - 2015-04-21 INACTIVE

Office Location

Street Address PO BOX 457
City BUTTERNUT
State WI
Zip Code 54514-0457

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lindsay Shackelton 6251 W Redwood Rd, Butternut, WI 54514 Registered Nurse 2019-07-02 ~ 2019-11-30

Competitor

Search similar business entities

City BUTTERNUT
Zip Code 54514
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + BUTTERNUT

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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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