MICHELLE DENISE RANDOLPH (Credential# 1410871) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
MICHELLE DENISE RANDOLPH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.141618. The credential type is registered nurse. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 120 Kenmare Row, Tyrone, GA 30290-2752. The current status is active.
Licensee Name | MICHELLE DENISE RANDOLPH |
Credential ID | 1410871 |
Credential Number | 10.141618 |
Credential Type | Registered Nurse |
Business Address |
120 Kenmare Row Tyrone GA 30290-2752 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-04-11 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-08-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1412896 | 10.140989-TEMP | Registered Nurse - Temporary | 2017-03-20 | 2017-03-20 - 2017-07-17 | INACTIVE |
Street Address | 120 KENMARE ROW |
City | TYRONE |
State | GA |
Zip Code | 30290-2752 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shawn Rosalie Williams | 140 Regal Oak, Tyrone, GA 30290 | Registered Nurse | 2018-10-23 ~ 2019-07-31 |
Jeffrey L Wyant | 345 Gaelic Way, Tyrone, GA 30290 | Heating, Piping & Cooling Limited Journeyperson | 2011-09-01 ~ 2012-08-31 |
Sang D Ngo | 404 Wynfield Drive, Tyrone, GA 30290 | Hairdresser/cosmetician | 2008-11-28 ~ 2010-11-30 |
Operation Mobilization Usa | Po Box 444, Tyrone, GA 30290-0444 | Public Charity-exempt From Financial Requirements | 2007-07-31 ~ |
Tamara Boyd-whyte | 131 Keswick Manor Dr, Tyrone, GA 30290-1542 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Angela M Holt | 350 Laurelwood Dr, Tyrone, GA 30290-1916 | Registered Nurse - Temporary | 2014-05-02 ~ 2014-08-29 |
Heidi Marie Marcelo | 100 London Berry Ct, Tyrone, GA 30290-2362 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Gwendolyn Jordan | 150 Sturbridge Pl, Tyrone, GA 30290-2580 | Registered Nurse | 2014-09-01 ~ 2015-08-31 |
Gabriela Maria Ruiz | 160 Greyfield Dr, Tyrone, GA 30290-2590 | Registered Nurse | 2019-12-02 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristin Wisor | 1053 Pennsylvania Ave, Tyrone, PA 16686 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Tricia M Waite | 158 Reservoir Dr, Tyrone, PA 16686-2548 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Chunkee Foods Inc | Washington Avenue Rte 220, Tyrone, PA 06686 | Bakery | ~ 1995-06-30 |
Cheryl R Wunsch | 1215 Pennsylvania Avenue, Tyrone, PA 16686 | Registered Nurse | 2004-07-01 ~ 2005-04-30 |
Merrell J Coker | Po Box 1125, Tyrone, NM 88065-1125 | Sub-surface Sewage Cleaner | 2010-06-16 ~ 2011-03-31 |
Bruce Zobel | Po Box 1125, Tyrone, NM 88065-1125 | Sub-surface Sewage Cleaner | 2010-09-13 ~ 2011-02-28 |
City | TYRONE |
Zip Code | 30290 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + TYRONE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Denise Michelle Boyd | 12662 Endurance Dr., Fishers, IN 46037 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
Michelle Denise Clarke | 4900 Koger Blvd Ste 100, Greensboro, NC 27407-2710 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Denise Michelle Lenon | 8668 Pigeon Pass Rd, Moreno Valley, CA 92557 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
Joseph A Randolph · J A Randolph Excavating | 478 West River St, Milford, CT 06460 | Home Improvement Contractor | ~ 1995-04-01 |
Michelle Bratman | 2 Winchester Terr, Randolph, NJ 07869 | Dental Hygienist | 1997-12-12 ~ 1999-01-31 |
Tamika Michelle Wooden | 12975 Michelle Dr, Frisco, TX 75035 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Kim Le | 73 Oak St, Randolph, MA 02368-3600 | Registered Nurse | ~ |
Mary B Markle | Po Box 157, Randolph, VT 05060 | Registered Nurse | 1994-09-22 ~ 1995-11-30 |
Avani Comer | 14 Castle Ct, Randolph, NJ 07869-2023 | Registered Nurse | ~ |
Portia K Elliott | 209 Randolph St Se, Attalla, AL 35954 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
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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).