JENNA Lynn SAMELAK (Credential# 1320963) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 8, 2016. The license expiration date date is October 31, 2016. The license status is INACTIVE.
JENNA Lynn SAMELAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.132785. The credential type is registered nurse. The effective date is March 8, 2016. The expiration date is October 31, 2016. The business address is 7204 Thornridge Drive, Grand Blanc, MI 48439. The current status is inactive.
| Licensee Name | JENNA Lynn SAMELAK |
| Credential ID | 1320963 |
| Credential Number | 10.132785 |
| Credential Type | Registered Nurse |
| Business Address |
7204 Thornridge Drive Grand Blanc MI 48439 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-03-08 |
| Effective Date | 2016-03-08 |
| Expiration Date | 2016-10-31 |
| Refresh Date | 2017-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1321180 | 10.130751-TEMP | Registered Nurse - Temporary | 2015-11-16 | 2015-11-16 - 2016-03-14 | INACTIVE |
| Street Address | 7204 Thornridge Drive |
| City | Grand Blanc |
| State | MI |
| Zip Code | 48439 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Whei Ying Lim | 6202 Thornridge Drive, Grand Blanc, MI 48439 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John R Masson | 9127 Graytrax Rd, Grand Blanc, MI 48439 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| William B Black | 1369 Kings Crest Cir, Grand Blanc, MI 48439 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Peter C Moody | 6424 Kingspointe Rd, Grand Blanc, MI 48439 | Physician/surgeon | 1994-09-09 ~ 1995-09-30 |
| Karsten H Fliegner | 7491 Troutwood Drive, Grand Blanc, MI 48439 | Physician/surgeon | 2002-03-11 ~ 2003-03-31 |
| Patricia A Davin | 11157 Strathmore Court, Grand Blanc, MI 48439 | Registered Nurse | 2003-01-15 ~ 2004-03-31 |
| Clarence N Thompson | 4452 Maplewood Meadows Ave., Grand Blanc, MI 48439 | Physician Assistant | 2003-08-11 ~ 2004-08-31 |
| Valerie L Garth | 443 Lockmoor Ct, Grand Blanc, MI 48439-1550 | Registered Nurse - Temporary | 2012-11-29 ~ 2013-03-29 |
| Andrew C Andre | 4052 Still Meadow Ct, Grand Blanc, MI 48439-3441 | Professional Engineer | ~ |
| Cheryl L Rodriguez | 5295 Crestwood Dr, Grand Blanc, MI 48439-4313 | Registered Nurse | 2014-01-01 ~ 2014-12-31 |
| Find all Licenses in zip 48439 | |||
| City | Grand Blanc |
| Zip Code | 48439 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Grand Blanc |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jenna Samelak | 26 Owen Street, Hartford, CT 06105 | Registered Nurse | ~ |
| Jenna Lynn Boyle | 288 Main Street, Oxford, MA 01540 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jenna Lynn Klimovich | 19 Lenore Dr, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jenna Lynn Fanelli | 1 Bayberry Rd, Elmsford, NY 10523-1701 | Occupational Therapist | 2020-06-08 ~ 2021-07-31 |
| Jenna-lynn Kelley | 590 Beecher Rd, Wolcott, CT 06716-1406 | Emergency Medical Responder | 2011-03-11 ~ 2014-01-01 |
| Jenna Lynn Comfort | 115 Patten Rd, North Haven, CT 06473-2877 | Hairdresser/cosmetician | 2020-01-13 ~ 2021-06-30 |
| Jenna Lynn Merced | 139 Emerald Ave, Willimantic, CT 06226 | Casino Class I Employee | 2020-04-17 ~ 2020-10-31 |
| Jenna-lynn Jennings | 30 Sachem Dr, North Haven, CT 06473-2839 | Emergency Medical Technician | 2020-04-01 ~ 2022-03-31 |
| Martin D White | 300 Lynn Shore Drive, Lynn, MA 01902 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Margaret Lynn Lynn Schaefer | 3061 N. Hackett Ave, Milwaukee, WI 53211 | Registered Nurse - Temporary | 2015-12-02 ~ 2016-03-30 |
Please comment or provide details below to improve the information on JENNA Lynn SAMELAK.
| 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).