DENISE LASELL BLACKSHEAR (Credential# 1399855) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.
DENISE LASELL BLACKSHEAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.141978. The credential type is registered nurse. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is 911 Wandering Vine Dr Se, Mableton, GA 30126-5653. The current status is inactive.
Licensee Name | DENISE LASELL BLACKSHEAR |
Credential ID | 1399855 |
Credential Number | 10.141978 |
Credential Type | Registered Nurse |
Business Address |
911 Wandering Vine Dr Se Mableton GA 30126-5653 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2017-05-01 |
Effective Date | 2018-06-01 |
Expiration Date | 2019-05-31 |
Refresh Date | 2019-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1400334 | 10.139935-TEMP | Registered Nurse - Temporary | 2017-01-27 | 2017-01-27 - 2017-05-26 | INACTIVE |
Street Address | 911 WANDERING VINE DR SE |
City | MABLETON |
State | GA |
Zip Code | 30126-5653 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ama Taylor | 822 Brickleridge Lane Se, Mableton, GA 30126 | Registered Nurse | ~ |
Ned Okarter | 5270 Abbey Park Lane, Mableton, GA 30126 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Fonda C Prioleau | 818 Bishops Run Lane, Mableton, GA 30126 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Angela P Mckenzie | 774 Wexford Cove Way, Mableton, GA 30126 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Garcia Pinnock | 3607 Abatis Way Se, Mableton, GA 30126 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Simmons Manufacturing Co LLC | 7131 Discovery Blvd, Mableton, GA 30126 | Manufacturer of Bedding & Upholstered Furniture | 2008-05-01 ~ 2009-04-30 |
A-complete Home Services Inc | 385 Fontaine Rd, Mableton, GA 30126 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
Dremeco D Seifert | 496 Cobblestone Creek Court, Mableton, GA 30126 | Certified Public Accountant License | 2010-01-01 ~ 2010-12-31 |
Beth A Hogan | 89 Cooper Lake Road, Mableton, GA 30126 | Registered Nurse - Temporary | 2013-11-08 ~ 2014-03-07 |
Josian Allan | 5108 Glore Road, Mableton, GA 30126 | Registered Nurse | 2004-09-08 ~ 2005-09-30 |
Find all Licenses in zip 30126 |
City | MABLETON |
Zip Code | 30126 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + MABLETON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lasell University | 1844 Commonwealth Ave, Newton, MA 02466-2709 | Public Charity-exempt From Financial Requirements | 2013-08-23 ~ |
Kandace Renee Royster | 4924 Old River Rd, Blackshear, GA 31516-4207 | Registered Nurse | 2018-06-08 ~ 2019-03-31 |
Cathy S Blackshear | 315 West 33rd Street, New York, NY 10001 | Registered Nurse | 2003-11-26 ~ 2004-12-31 |
Brandi S Mathis | 6350 Bargeron Rd, Blackshear, GA 31516-5241 | Registered Nurse - Temporary | 2013-11-15 ~ 2014-03-14 |
Shannon Colman | 19 Lasell Ave, Northampton, MA 01060-4009 | Hairdresser/cosmetician | ~ |
Derek A Rubinoff | 101 Lasell St., West Roxbury, MA 02132-3135 | Architect | 2019-08-01 ~ 2020-07-31 |
Laura Jean Bostwick | 89 Lasell Street, West Roxbury, MA 02132 | Pharmacist | 2005-02-01 ~ 2006-01-31 |
Leigh G Sowers | 3090 Blackshear Ave, Pensacola, FL 32503-4175 | Engineer-in-training | 2013-10-08 ~ 2023-10-08 |
Dennis L. Frew | 1259 S River Oaks Dr, Blackshear, GA 31516-4656 | Physician/surgeon | 2016-10-20 ~ 2017-09-30 |
T A Blackshear Sr | 12 Green Street, Stamford, CT 06902 | Notary Public Appointment | 2000-02-01 ~ 2005-01-31 |
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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).