SUSAN GRISHAM (Credential# 1381807) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2019. The license status is INACTIVE.
SUSAN GRISHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.139578. The credential type is registered nurse. The effective date is February 1, 2018. The expiration date is January 31, 2019. The business address is 504 Oxborough Ct, Saint Peters, MO 63376-7643. The current status is inactive.
Licensee Name | SUSAN GRISHAM |
Credential ID | 1381807 |
Credential Number | 10.139578 |
Credential Type | Registered Nurse |
Business Address |
504 Oxborough Ct Saint Peters MO 63376-7643 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2017-01-03 |
Effective Date | 2018-02-01 |
Expiration Date | 2019-01-31 |
Refresh Date | 2019-05-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1381925 | 10.137574-TEMP | Registered Nurse - Temporary | 2016-09-30 | 2016-09-30 - 2017-01-27 | INACTIVE |
Street Address | 504 OXBOROUGH CT |
City | SAINT PETERS |
State | MO |
Zip Code | 63376-7643 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Annette F Richardson-latham | 221 Park Charles Blvd. N., St. Peters, MO 63376 | Registered Nurse | ~ |
Leah E Evans | 335 Revolution Drive, St. Peters, MO 63376 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jody Elaine Rivas | 7 Blackwood Lane, St. Peters, MO 63376 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Excel Pharmacy Inc | 505 Salt Lick Rd, Saint Peters, MO 63376 | Nonresident Pharmacy | ~ |
Melissa Lee Smith | 883 Boca Raton Dr, St Peters, MO 63376 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Robert James Mcdonnell | 4006 Northbridge Dr, St. Peters, MO 63376 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Terri D Bond | 16 Meandering Ln, St. Peters, MO 63376 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Narcissa Y Ojeda | 32 Barkwood Trails Drive, Saint Peters, MO 63376 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Teresa Sue Vivion | 233 Barrington Drive, St. Peters, MO 63376 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
Megan Marie Donaldson | 244 Barrington Drive, Saint Peters, MO 63376 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
Find all Licenses in zip 63376 |
City | SAINT PETERS |
Zip Code | 63376 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + SAINT PETERS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Larry D Grisham · Grisham Refinishing | 15 Ann St, Norwich, CT 06360 | Home Improvement Contractor | 1997-07-29 ~ 1997-11-30 |
Grisham | 202 Mt Pleasant Street, Norwich, CT 06360 | Lead Abatement Contractor | ~ 1997-02-28 |
Heather D Grisham | 32 Talcott Ave, Jewett City, CT 06351-1820 | Licensed Practical Nurse | 2019-10-01 ~ 2020-09-30 |
Susan E Hahn | 3 Susan Lane, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Amanda C. Grisham | 39 Rosemary St Apt 2, New London, CT 06320-5836 | Hairdresser/cosmetician | 2015-02-01 ~ 2017-01-31 |
Molly M Grisham | 283 E Ridge Rd, Middletown, CT 06457 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Heather Grisham | 216 Broad St. 3rd Fl, New London, CT 06320 | Medication Administration Certification | 2013-01-19 ~ 2015-01-18 |
Grisham M Bryan | 30 Stonybrook Lane, Shrewsbury, MA 01545 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Donna S Grisham | 283 East Ridge Rd, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Patricia A Grisham | 7 Parkwood Dr, Gales Ferry, CT 06335 | Notary Public Appointment | 1992-04-01 ~ 1997-03-31 |
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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).