TERI L WALLIS (Credential# 1280150) 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.
TERI L WALLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.126609. The credential type is registered nurse. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 967 William and Mary Ct, Barnhart, MO 63012-1170. The current status is inactive.
Licensee Name | TERI L WALLIS |
Credential ID | 1280150 |
Credential Number | 10.126609 |
Credential Type | Registered Nurse |
Business Address |
967 William and Mary Ct Barnhart MO 63012-1170 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-05-31 |
Effective Date | 2017-10-01 |
Expiration Date | 2018-09-30 |
Refresh Date | 2019-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1280920 | 10.126111-TEMP | Registered Nurse - Temporary | 2015-04-28 | 2015-04-28 - 2015-08-25 | INACTIVE |
Street Address | 967 WILLIAM AND MARY CT |
City | BARNHART |
State | MO |
Zip Code | 63012-1170 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cheryl Marie Jones | 6537 Havenhill, Barnhart, MO 63012 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Ellen S Grant | 1967 Donnell Drive, Barnhart, MO 63012 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Regina F Hammond | 1605 Williamsburg Dr, Barnhart, MO 63012-1428 | Registered Nurse | ~ |
City | BARNHART |
Zip Code | 63012 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + BARNHART |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hazel M Beck | 170 Wallis Rd, Rye, NH 03870 | Registered Nurse | 1992-06-25 ~ 1993-06-30 |
Janine D Wallis | 12 Tanglewood Dr, Westfield, MA 01085-4135 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
Richard Fernandez | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 | Registered Nurse | 2019-09-30 ~ 2020-09-30 |
Larshuan M Williams | 474 Wallis Farm Way, Marietta, GA 30064-5464 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
Sheila L Wallis | 341 Jude Lane, Southington, CT 06489 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
Katie B Wallis | 135 Woodcock Knoll, Cross River, NY 10518 | Registered Nurse | 1999-11-03 ~ 2000-10-31 |
Shelly A Wallis | 544 Lone Rock Dr, Norfork, AR 72658-8918 | Registered Nurse - Temporary | 2013-08-07 ~ 2013-12-04 |
Teri L Wheaton | Po Box 591, Patten, ME 04765 | Registered Nurse | 2003-06-27 ~ 2004-08-31 |
Teri M Couch | 740 Sugar Rd, Copley, OH 94321 | Registered Nurse | ~ 1995-08-31 |
Teri L Williams | 47 Jerome Rd, Uncasville, CT 06382 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
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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).