TIA LEA BROADNAX (Credential# 1413626) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
TIA LEA BROADNAX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.144829. The credential type is registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 6204 Black Willow Drive, Greensboro, NC 27405. The current status is active.
| Licensee Name | TIA LEA BROADNAX |
| Credential ID | 1413626 |
| Credential Number | 10.144829 |
| Credential Type | Registered Nurse |
| Business Address |
6204 Black Willow Drive Greensboro NC 27405 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-09-11 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1414903 | 10.141268-TEMP | Registered Nurse - Temporary | 2017-03-29 | 2017-03-29 - 2017-07-26 | INACTIVE |
| Street Address | 6204 Black Willow Drive |
| City | Greensboro |
| State | NC |
| Zip Code | 27405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angelica Josette Gonzalez | 3210 Sandburg Dr, Greensboro, NC 27405 | Registered Nurse | ~ |
| Felicia Williams | 1414 Asher Downs Dr., Greensboro, NC 27405 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Sherrie Nicole Frye | 2824 Leo Drive, Greensboro, NC 27405 | Registered Nurse | 2020-03-11 ~ 2020-11-30 |
| Yakeshia N Perry | 4911 Steer Lane, Greensboro, NC 27405 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Nicole Michelle Rodgers | 6125 Trotting Place, Greensboro, NC 27405 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kristina Michelle Doggett | 1103 Waterlyn Dr, Greensboro, NC 27405 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Vivian Grice | 9 Loxwood Court, Greensboro, NC 27405 | Registered Nurse | 2018-03-01 ~ 2019-03-31 |
| Julia Mcbride | 3605 Longrun Drive, Greensboro, NC 27405 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Lynda S Corkum | 3617 Martin Avenue, Greensboro, NC 27405 | Hairdresser/cosmetician | 2016-12-01 ~ 2018-11-30 |
| Darlene E Cooper | 4003 Landerwood Dr, Greensboro, NC 27405 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Find all Licenses in zip 27405 | |||
| City | Greensboro |
| Zip Code | 27405 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Greensboro |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheryl P Broadnax | 560 Winthrop Ave, New Haven, CT 06511-3118 | Paramedic | 2014-08-01 ~ 2015-07-31 |
| Bobbie Lee Broadnax Jr | 226 Virginia Ave Unit A, Bridgeport, CT 06610-1519 | Lead Abatement Worker | ~ |
| Vincent D Broadnax | 105 S Main St Apt 2, Norwalk, CT 06854-3137 | Electrical Unlimited Contractor | 2013-10-01 ~ 2014-09-30 |
| Michelle D Broadnax | 1131 Knox Place Dr Apt U, Greensboro, NC 27407-5171 | Hairdresser/cosmetician | 2018-08-01 ~ 2020-07-31 |
| Renet S Broadnax Byam | 321 Grand Ave # 1, New Haven, CT 06513-3729 | Real Estate Salesperson | 2008-06-01 ~ 2009-05-31 |
| Beverly M Broadnax | 50 Colonial Street, Hartford, CT 06106 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David Broadnax | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2004-12-22 ~ 2006-12-21 |
| Traci L Broadnax | 7819 Fayette St, Philadelphia, PA 19150-2101 | Respiratory Care Practitioner | 2019-10-01 ~ 2020-09-30 |
| Shirley Broadnax | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2013-10-23 ~ 2015-10-22 |
| Donna Broadnax | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2000-06-08 ~ 2002-06-07 |
Please comment or provide details below to improve the information on TIA LEA BROADNAX.
| 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).