MALLORI K GIBSON (Credential# 1311859) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 15, 2016. The license expiration date date is May 31, 2016. The license status is INACTIVE.
MALLORI K GIBSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.131453. The credential type is registered nurse. The effective date is January 15, 2016. The expiration date is May 31, 2016. The business address is 815 Scotch Pine Drive, Greenwood, IN 46143. The current status is inactive.
Licensee Name | MALLORI K GIBSON |
Credential ID | 1311859 |
Credential Number | 10.131453 |
Credential Type | Registered Nurse |
Business Address |
815 Scotch Pine Drive Greenwood IN 46143 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2016-01-15 |
Effective Date | 2016-01-15 |
Expiration Date | 2016-05-31 |
Refresh Date | 2016-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1312002 | 10.129650-TEMP | Registered Nurse - Temporary | 2015-09-21 | 2015-09-21 - 2016-01-18 | INACTIVE |
Street Address | 815 Scotch Pine Drive |
City | Greenwood |
State | IN |
Zip Code | 46143 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Medical Depot · Drive Devilbriss Healthcare | 650 Commerce Pkwy East Dr Ste# 200, Greenwood, IN 46143 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Joshua Matthew Patterson | 1780 S. Morgantown Rd, Greenwood, IN 46143 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Nestle Waters North America Inc | 900 Commerce Parkway W, Greenwood, IN 46143 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
Frank Johnson | 937 Old Eagle Way, Greenwood, IN 46143 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Taleia Powell | 1248 Hamilton Drive, Greenwood, IN 46143 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Mary Jo Pennington | 2086 Woodfield Dr., Greenwood, IN 46143 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Mary Katrillia Moll | 800 Heatherwood Dr., Greenwood, IN 46143 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Mary K Ambler | 1189 Carlton Ct., Greenwood, IN 46143 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Lori L Burris Robertson | 1571 Buckingham Ct, Greenwood, IN 46143 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
Patricia A Hutton | 607 Mountain Pine Dr., Greenwood, IN 46143 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
Find all Licenses in zip 46143 |
City | Greenwood |
Zip Code | 46143 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + Greenwood |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mallori Rae Hurd | 400 Sycamore Ln Apt 205, Woodstock, GA 30188-7317 | Registered Nurse - Temporary | 2020-04-15 ~ 2020-08-13 |
Mallori T Seliger | 38 Cragmere Oval, New City, NY 10956-5432 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Amy S Litchfield | 38 Gibson Ln, New Hartford, CT 06057-3639 | Registered Nurse | 2015-10-01 ~ 2016-09-30 |
Jessica E Tomcykoski | Rr1 Box 421, South Gibson, PA 18842 | Registered Nurse | 2004-08-13 ~ 2004-11-30 |
Nancy B Gibson | 414 Stockbridge Dr, Westfield, IN 46074-8820 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Robin A Gibson | Po Box 2172, Manchester, CT 06045-2172 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Stephanie L Gibson | 23 Schwab Ter, Wallingford, CT 06492-1649 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Dawn M Gibson | 69 Jenness St, Springfield, MA 01104 | Registered Nurse | 2004-11-29 ~ 2005-12-31 |
Kimberly T Gibson | Po Box 1033, Columbia, TN 38402-1033 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
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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).