KHALIA SHANTA JOHNSON (Credential# 1431243) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KHALIA SHANTA JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.144295. The credential type is registered nurse. The effective date is May 1, 2020. The expiration date is May 31, 2021. The business address is 9 Sandra Dr, Bloomfield, CT 06002-2870. The current status is active.
| Licensee Name | KHALIA SHANTA JOHNSON |
| Credential ID | 1431243 |
| Credential Number | 10.144295 |
| Credential Type | Registered Nurse |
| Business Address |
9 Sandra Dr Bloomfield CT 06002-2870 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-21 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2005352 | 10.168295-TEMP | Registered Nurse - Temporary | 2020-02-04 | 2020-02-04 - 2020-06-03 | INACTIVE |
| Street Address | 9 SANDRA DR |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2870 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khai S Johnson | 9 Sandra Dr, Bloomfield, CT 06002 | Tv & Radio Limited Dish Antenna Technician | 2006-08-31 ~ 2007-08-31 |
| Howard Rickerson Jr | 9 Sandra Dr, Bloomfield, CT 06002 | Electrical Unlimited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sierra M Holder | 17 Sandra Dr, Bloomfield, CT 06002-2870 | Pharmacy Technician | 2016-04-01 ~ 2017-03-31 |
| Tianna O Jackson | 19 Sandra Dr, Bloomfield, CT 06002-2870 | Emergency Medical Responder | 2018-05-17 ~ 2021-01-01 |
| Gregory R Taylor | 6 Sandra Dr, Bloomfield, CT 06002-2870 | Hairdresser/cosmetician | 2013-07-22 ~ 2015-04-30 |
| Melissa M Stewart | 5 Sandra Dr, Bloomfield, CT 06002-2870 | Professional Counselor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shanta M Hailey | 366 Tunxis Ave, Bloomfield, CT 06002-1124 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Shanta M Griffiths · Jaggon | 2 Walters Way, Windsor, CT 06095 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Shanta Lazzaiz Dy Ison Garcia | 6411 N Domingo Street La Huerta, Paranaque City, PH 1700 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Khalia M Cain | 136 Lydall St, Manchester, CT 06042-2354 | Emergency Medical Technician | 2010-03-16 ~ 2012-10-01 |
| Khalia Lowery | 414 Harding Ave, Stratford, CT 06851 | Medication Administration Certification | 2020-05-17 ~ 2022-05-16 |
| Khalia Berry | 26 Rockville Street, Hartford, CT 06112 | Medication Administration Certification | 2019-12-05 ~ 2021-12-04 |
| Nadine Johnson · Johnson | 16 Greenwood Avenue, Bloomfield, CT 06002 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Susan Dow Johnson · Johnson | 675 So Main Street, Unit A, Cheshire, CT 06410 | Registered Nurse | 2007-03-29 ~ 2008-05-31 |
| Shanta L Booker | 15 Greenwich Ave #17, Stamford, CT 06902 | Pharmacy Technician | 2007-04-18 ~ 2008-03-31 |
| Shanta B Keller | 7 Bromfield St, Watertown, MA 02472-2142 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on KHALIA SHANTA JOHNSON.
| 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).