SHASTA M JOHNSTON (Credential# 1333501) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is February 16, 2016. The license expiration date date is June 14, 2016. The license status is INACTIVE.
SHASTA M JOHNSTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.132129-TEMP. The credential type is registered nurse - temporary. The effective date is February 16, 2016. The expiration date is June 14, 2016. The business address is 1619 Sheridan Line, Croswell, MI 48422. The current status is inactive.
| Licensee Name | SHASTA M JOHNSTON |
| Credential ID | 1333501 |
| Credential Number | 10.132129-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
1619 Sheridan Line Croswell MI 48422 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2016-02-16 |
| Effective Date | 2016-02-16 |
| Expiration Date | 2016-06-14 |
| Refresh Date | 2016-06-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1333350 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 1619 Sheridan Line |
| City | Croswell |
| State | MI |
| Zip Code | 48422 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohamed M Elrahman | Po Box 233, Croswell, MI 48422 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Nathan Roegner | 2806 Peck Rd, Croswell, MI 48422-8759 | Registered Nurse | 2016-08-02 ~ 2017-08-31 |
| City | Croswell |
| Zip Code | 48422 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + Croswell |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angela S Fravel | 7544 Shasta Dr, Indianapolis, IN 46217-7119 | Registered Nurse - Temporary | 2010-05-06 ~ 2010-09-03 |
| Shasta Rousey | 720 Jersey Ridge Rd, Maysville, KY 41056-8372 | Registered Nurse - Temporary | 2018-04-24 ~ 2018-08-21 |
| Nydessa Mae Johnston | Po Box 87, Bainbridge, PA 17502-0087 | Registered Nurse - Temporary | 2019-08-28 ~ 2019-12-26 |
| Brenda L Tripp | 36 Old Pocasset Rd, Johnston, RI 02919-3110 | Registered Nurse - Temporary | 2010-03-17 ~ 2010-07-15 |
| Anne P Johnston | 755 N 26th St, Philadelphia, PA 19130-2436 | Registered Nurse - Temporary | 2009-05-13 ~ 2009-09-10 |
| Marcela Barros | 6 Homestead Ave, Johnston, RI 02919-4304 | Registered Nurse - Temporary | 2019-05-08 ~ 2019-09-05 |
| Daniel P Bryant | 171 Federal Way Apt 102, Johnston, RI 02919-4682 | Registered Nurse - Temporary | 2012-03-08 ~ 2012-07-06 |
| Janis L Hinde | 145 Federal Way Apt 103, Johnston, RI 02919-4671 | Registered Nurse - Temporary | 2010-01-14 ~ 2010-05-14 |
| Jenni Rebecca Johnston | 1 Colonial Dr., Pelham, NH 03076 | Registered Nurse - Temporary | 2018-04-13 ~ 2018-08-10 |
| Caitlyn Johnston | 57 Sorghum Ridge, Blairsville, GA 30512 | Registered Nurse - Temporary | 2019-02-11 ~ 2019-06-11 |
Please comment or provide details below to improve the information on SHASTA M JOHNSTON.
| 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).