JACKALYN RENAE BARGMAN (Credential# 1386610) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2018. The license expiration date date is December 31, 2018. The license status is INACTIVE.
JACKALYN RENAE BARGMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.138992. The credential type is registered nurse. The effective date is January 1, 2018. The expiration date is December 31, 2018. The business address is 700 120th Ave Ne, Blaine, MN 55434-3019. The current status is inactive.
| Licensee Name | JACKALYN RENAE BARGMAN |
| Credential ID | 1386610 |
| Credential Number | 10.138992 |
| Credential Type | Registered Nurse |
| Business Address |
700 120th Ave Ne Blaine MN 55434-3019 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-12-01 |
| Effective Date | 2018-01-01 |
| Expiration Date | 2018-12-31 |
| Refresh Date | 2019-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1386674 | 10.138243-TEMP | Registered Nurse - Temporary | 2016-10-27 | 2016-10-27 - 2017-02-23 | INACTIVE |
| Street Address | 700 120TH AVE NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434-3019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lorri J Shuey | 348 108th Avenue Ne, Blaine, MN 55434 | Registered Nurse | 2006-09-26 ~ 2007-01-31 |
| Hoa Gia Pham | 9813 Quincy St, Ne Blaine, MN 55434 | Pharmacist | ~ |
| Timothy J Rapoport | 10800 President Dr Ne, Minneapolis, MN 55434-1662 | Professional Engineer | 2013-07-16 ~ 2014-01-31 |
| Kathleen M Jablonski | 866 113th Ln Ne, Minneapolis, MN 55434-2952 | Registered Nurse - Temporary | 2015-03-16 ~ 2015-07-13 |
| Kristin Leigh Kosminskas | 12817 Polk St Ne, Blaine, MN 55434-3269 | Registered Nurse - Temporary | 2017-03-20 ~ 2017-07-17 |
| Kristin L Kosminskas | 12817 Polk St Ne, Minneapolis, MN 55434-3269 | Registered Nurse - Temporary | 2014-09-25 ~ 2015-01-22 |
| Rhonda S Pierce | 9298 Central Ave. N.e., Blaine, MN 55434-3425 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Daniel J Van House | 10052 Pleasure Creek Cir Ne, Blaine, MN 55434-4233 | Physical Therapist | 2012-11-01 ~ 2013-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samira Sugule | 11803 Zumbrota Street Ne, Blaine, MN 55449 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Linda Diana Campbell | 1074 Harrison Avenue, Blaine, WA 98230 | Registered Nurse | 2020-03-13 ~ 2021-02-28 |
| Phyllis G Dermer | 419 Patterson Town Road, Blaine, TN 37709 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Jon Marvin Strahan Jr | 610 A St Apt 2, Blaine, WA 98230-5178 | Registered Nurse - Temporary | 2019-02-26 ~ 2019-06-26 |
| Samira Sugule | 11803 Zumbrota St Ne, Blaine, MN 55449-5675 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Gerald R Chartrand | 2078-129th Ct Ne, Blaine, MN 55449 | Professional Engineer | 2016-03-29 ~ 2017-01-31 |
| Kyle P Nielson | 1300 Boblett St # 374, Blaine, WA 98230-9716 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Rochelle L Swensen | 2879 Edison St Ne Unit G, Blaine, MN 55449-5167 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Calvin Jay Payne | Po Box 2850, Blaine, WA 98230 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
| Marci Rae F Jerez | 43 Lunn Rd, Blaine, ME 04734-4112 | Hairdresser/cosmetician | 2014-05-01 ~ 2016-04-30 |
| Find all Licenses in BLAINE | |||
| City | BLAINE |
| Zip Code | 55434 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + BLAINE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jackalyn Demarco | 7 Hamburg St, Shelton, CT 06484 | Registered Nurse | 1997-05-07 ~ 1998-06-30 |
| Anita R Bailey · Renae | P.o. Box 1623, Welcome, NC 27374 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Camilla Renae Albee | 507 N Washington St, Raymore, MO 64083-9551 | Registered Nurse | 2011-10-05 ~ 2012-08-31 |
| Renae Riley Hollis | 11 W Circle Dr, Vidalia, LA 71373-3133 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Suzan Renae Thomas | 745 Highway 487 E, Carthage, MS 39051-6023 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Lisa Renae Jenike | 33 Ridgewood Ter, Northampton, MA 01060-1631 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Michele Renae Caldwell | 403 Ballentine Ct, Hutto, TX 78634 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Terri-ann Renae Mclean | 4055 Duryea Ave, Bronx, NY 10466 | Registered Nurse | ~ |
| Renae Brotherton | 13811 W Watson Ln, Surprise, AZ 85379-8419 | Registered Nurse | 2018-04-11 ~ 2019-04-30 |
| Alanna Renae Ludley | 132 Pleasant St, Hanover, MA 02339 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
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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).