ADRIANE SUSAN JACKSON (Credential# 1417402) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ADRIANE SUSAN JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.040862. The credential type is licensed practical nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 2820 141st St, Blue Island, IL 60406-3358. The current status is active.
| Licensee Name | ADRIANE SUSAN JACKSON |
| Credential ID | 1417402 |
| Credential Number | 11.040862 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
2820 141st St Blue Island IL 60406-3358 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-15 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-23 |
| Street Address | 2820 141ST ST |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-3358 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shoshanna Brown | 12224 Fairway Cir Unit D, Blue Island, IL 60406-3640 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| City | BLUE ISLAND |
| Zip Code | 60406 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + BLUE ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adriane M Garvin | 22 Clearview Dr, Sandy Hook, CT 06482-1334 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Siedah L Jackson | 202 Bruce Ave, Stratford, CT 06615-6105 | Licensed Practical Nurse | ~ |
| Jasmine V Jackson | 41 Webb St, Hamden, CT 06517-3924 | Licensed Practical Nurse | ~ |
| Kym Sha-ron Peterson | 44 Jackson St, Ansonia, CT 06401-1210 | Licensed Practical Nurse | 2019-08-28 ~ 2020-08-31 |
| Heniel L Jackson | 600 Big Oak Ct Apt 111, Macclenny, FL 32063-4464 | Licensed Practical Nurse | 2009-09-21 ~ 2010-04-30 |
| Janice Jackson | 697 Laurel Ave, Bridgeport, CT 06604-2403 | Licensed Practical Nurse | ~ |
| Antoinette L Jackson | 89 Grande Ave, Windsor, CT 06095-3962 | Licensed Practical Nurse | ~ |
| Mary E Spear Mrs | P.o. Box 6, Mt Jackson, VA 22842 | Licensed Practical Nurse | 2016-01-01 ~ 2016-12-31 |
| Ginette Theagene | 507 W Jackson Ave, Bridgeport, CT 06604-1609 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Lorita C Stevenson | 649 Forest Ave, Jackson, MS 39206 | Licensed Practical Nurse | 2001-07-03 ~ 2002-03-31 |
Please comment or provide details below to improve the information on ADRIANE SUSAN JACKSON.
| 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).