JENNIFER KHOTIMSKY (Credential# 1319440) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2017. The license expiration date date is July 31, 2018. The license status is INACTIVE.
JENNIFER KHOTIMSKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.130632. The credential type is registered nurse. The effective date is August 1, 2017. The expiration date is July 31, 2018. The business address is N5522 Boyke Dr, Fond Du Lac, WI 54937-6613. The current status is inactive.
Licensee Name | JENNIFER KHOTIMSKY |
Credential ID | 1319440 |
Credential Number | 10.130632 |
Credential Type | Registered Nurse |
Business Address |
N5522 Boyke Dr Fond Du Lac WI 54937-6613 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-11-10 |
Effective Date | 2017-08-01 |
Expiration Date | 2018-07-31 |
Refresh Date | 2018-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1319689 | 10.130515-TEMP | Registered Nurse - Temporary | 2015-11-04 | 2015-11-04 - 2016-03-02 | INACTIVE |
Street Address | N5522 BOYKE DR |
City | FOND DU LAC |
State | WI |
Zip Code | 54937-6613 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christopher Stevenson | N5116 Summit Dr, Fond Du Lac, WI 54937 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Van F Fitch | 224 North St, North Fond Du Lac, WI 54937-1039 | Fire Protection Unlimited Contractor | ~ |
Juliana W Kindschuh | 239 Ledgewood Dr, Fond Du Lac, WI 54937-6300 | Registered Nurse | 2013-12-19 ~ 2014-08-31 |
Rachel Lynn Vermeulen | W5760 Timber Trl, Fond Du Lac, WI 54937-8504 | Registered Nurse - Temporary | 2020-04-07 ~ 2020-08-05 |
Nicole M Uelmen | N6306 Esterbrook Rd, Fond Du Lac, WI 54937-9448 | Registered Nurse | 2019-10-24 ~ 2020-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas Schermerhorn | 100 Camelot Dr, Fond Du Lac, WI 54935 | Architect | 2020-08-01 ~ 2021-07-31 |
Sheri J Lund | 133 Wakawn Ave, Fond Du Lac, WI 54935-6248 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
James W Todd | 100 Camelot Drive, Fond Du Lac, WI 54935 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Scott R Horton | 201 Morris Ct, Fond Du Lac, WI 54935-5661 | Fire Protection Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
Bonnie K Mallon | 543 Ashbury Dr, Fond Du Lac, WI 54935-6389 | Registered Nurse | 2014-10-01 ~ 2015-10-31 |
Greg M Bloomberg | 481 Forest Ave, Fond Du Lac, WI 54935-3957 | Public Service Technician - Telephone | 2008-10-02 ~ 2009-09-30 |
Tammy M Boudry | 133 Parkway Court, Fond Du Lac, WI 54935 | Dental Hygienist | 2000-11-14 ~ 2001-10-31 |
Tracy L Venne | W4508 4th Street Road, Fond Du Lac, WI 54935 | Radiographer | 2005-07-12 ~ 2006-08-31 |
Eugenia D Hord | W 3817 Stoneridge Drive, Fond Du Lac, WI 54935 | Physician/surgeon | 2006-09-21 ~ 2007-06-30 |
John M Crossen | 842 Sterling Dr, Fond Du Lac, WI 54935 | Electrical Unlimited Journeyperson | 2005-10-01 ~ 2006-09-30 |
Find all Licenses in FOND DU LAC |
City | FOND DU LAC |
Zip Code | 54937 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + FOND DU LAC |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ilya A Khotimsky | 1274 Summit Rd, Cheshire, CT 06410-1343 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Jennifer M Desmond | CT | Registered Nurse | ~ |
Jennifer R Nelson | CT | Registered Nurse | ~ |
Jennifer M Gee | 712 Se Dolphin Dr, Stuart, FL 34996-3241 | Registered Nurse | ~ |
Jennifer L Osborne | Po Box 671, Alderson, WV 24910-0671 | Registered Nurse | ~ |
Jennifer Nicastro | 321 Spruce St Ste 800, Scranton, PA 18503-1448 | Registered Nurse | ~ |
Jennifer S Flynn | P.o. Box 247, Colebrook, CT 06021 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Jennifer L Fay | 86 Woodland Ave, Waterbury, CT 06705 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
Jennifer Lee Dowling | 8 Oak Pl, Blackstone, MA 01504-1701 | Registered Nurse | 2019-05-14 ~ 2020-04-30 |
Jennifer C Schorsch | 288 Aspen Cir, Gilberts, IL 60136-4018 | Registered Nurse | ~ |
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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).