KELLY D SHAW (Credential# 1333721) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is February 17, 2016. The license expiration date date is June 15, 2016. The license status is INACTIVE.
KELLY D SHAW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.132145-TEMP. The credential type is registered nurse - temporary. The effective date is February 17, 2016. The expiration date is June 15, 2016. The business address is 4909 May Ridge Ln, Indianapolis, IN 46254-5908. The current status is inactive.
| Licensee Name | KELLY D SHAW |
| Credential ID | 1333721 |
| Credential Number | 10.132145-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
4909 May Ridge Ln Indianapolis IN 46254-5908 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2016-02-17 |
| Effective Date | 2016-02-17 |
| Expiration Date | 2016-06-15 |
| Refresh Date | 2016-06-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1237555 | 10.123213 | Registered Nurse | 2014-11-05 | 2014-11-05 - 2015-02-28 | INACTIVE |
| 1239107 | 10.121258-TEMP | Registered Nurse - Temporary | 2014-08-07 | 2014-08-07 - 2014-12-04 | INACTIVE |
| Street Address | 4909 MAY RIDGE LN |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5908 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph A Herrold | 4903 Kilkenny Court, Indianapolis, IN 46254 | Physician/surgeon | 2015-10-05 ~ 2016-08-31 |
| Mark E Young | 5819 Gateway Dr, Indianapolis, IN 46254 | Electrical Unlimited Contractor | ~ |
| Alton R Horn | 5611 Liberty Creek Drive, Indianapolis, IN 46254 | Electrical Unlimited Journeyperson | ~ |
| Jerzy Hajduczyk | 7802 Eagle Creek Overlook Dr, Indianapolis, IL 46254 | Landscape Architect | 2011-08-01 ~ 2012-07-31 |
| Shawna D Curtis | 4043 Shadow Point Lane, Indianapolis, IN 46254 | Registered Nurse | 2011-12-01 ~ 2012-11-30 |
| Marlynn K Betts | 5917 Oakforge Lane, Indianapolis, IN 46254 | Registered Nurse | 2010-08-01 ~ 2011-07-31 |
| Elizabeth J Manaloor | 5474 Winterhazel Drive, Indianapolis, IN 46254 | Physician/surgeon | 1999-12-08 ~ 2000-09-30 |
| Jason W Guynn | 6078 Georgetown Rd, Indianapolis, IN 46254-1216 | Public Service Technician - Telephone | 2011-03-11 ~ 2011-09-30 |
| Doris J Dupree | 5327 Spring Creek Pl, Indianapolis, IN 46254-1670 | Registered Nurse | 2013-12-01 ~ 2014-11-30 |
| Matthew A Kwiatkowski | 3901 Industrial Blvd, Indianapolis, IN 46254-2509 | Landscape Architect | 2015-08-03 ~ 2016-07-31 |
| Find all Licenses in zip 46254 | |||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + INDIANAPOLIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly A Shaw | 1364 Carnegie Ave., Akron, OH 44314 | Registered Nurse | 2017-10-06 ~ 2018-09-30 |
| Nathan L Shaw | 180 E 1st St S, Snowflake, AZ 85937-5311 | Registered Nurse - Temporary | 2012-07-23 ~ 2012-11-20 |
| Bernadette A Kennedy | 34 Shaw Ln, Irvington, NY 10533-1108 | Registered Nurse - Temporary | 2012-11-01 ~ 2013-03-01 |
| Teresa H Shaw | 517 Whispering Creek Rd, King, NC 27021-9146 | Registered Nurse - Temporary | 2013-12-13 ~ 2014-04-11 |
| Jonathan Shaw | 171 Rolling Pines Ct, Raeford, NC 28376-5945 | Registered Nurse - Temporary | 2020-03-06 ~ 2020-07-04 |
| Jonathan W Shaw | 171 Rolling Pines Ct, Raeford, NC 28376-5945 | Registered Nurse - Temporary | 2013-12-10 ~ 2014-04-08 |
| Deborah Yates Shaw | 6388 Bombay School Rd, Denton, NC 27239-8333 | Registered Nurse - Temporary | 2020-06-03 ~ 2020-10-01 |
| Kelly Henry | 30 Empire St, Yonkers, NY 10704-3006 | Registered Nurse - Temporary | 2014-02-27 ~ 2014-06-26 |
| Kelly Doyle | 313 Watts Cir, Nashville, TN 37209-4443 | Registered Nurse - Temporary | 2020-04-03 ~ 2020-08-01 |
| Kelly M Erramuzpe | Po Box 2075, Gilbert, AZ 85299-2075 | Registered Nurse - Temporary | 2016-01-07 ~ 2016-05-05 |
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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).