SAMANTHA GILLAM (Credential# 1453518) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
SAMANTHA GILLAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.146562. The credential type is registered nurse. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 18081 Prairie Dr, Saucier, MS 39574-4410. The current status is active.
| Licensee Name | SAMANTHA GILLAM |
| Credential ID | 1453518 |
| Credential Number | 10.146562 |
| Credential Type | Registered Nurse |
| Business Address |
18081 Prairie Dr Saucier MS 39574-4410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-13 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1456512 | 10.145765-TEMP | Registered Nurse - Temporary | 2017-10-17 | 2017-10-17 - 2018-02-13 | INACTIVE |
| Street Address | 18081 PRAIRIE DR |
| City | SAUCIER |
| State | MS |
| Zip Code | 39574-4410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy B Leslie | 20360 Gordon Street, Saucier, MS 39574 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Janice Marie Pickard | 5341 Gilbert Preston Road, Saucier, MS 39574 | Registered Nurse | 2017-06-16 ~ 2018-04-30 |
| Brian M Auchard | 18873 Palmer Creek Dr, Saucier, MS 39574 | Heating, Piping & Cooling Limited Journeyperson | 2010-09-01 ~ 2011-08-31 |
| Maureen P Parker | 22521 Miller Edwards Rd, Saucier, MS 39574 | Licensed Practical Nurse | 2000-05-09 ~ 2001-06-30 |
| Perry Kozakiewicz | 20066 Pete Hickman Rd, Saucier, MS 39574 | Heating, Piping & Cooling Limited Journeyperson | 2007-09-01 ~ 2008-08-31 |
| Billy L Stroud | 23199 Wright Rd, Saucier, MS 39574-8186 | Heating, Piping & Cooling Limited Journeyperson | 2013-09-01 ~ 2014-08-31 |
| Jeffrey D Mallett | 26122 Marvin Williams Rd, Saucier, MS 39574-9358 | Heating, Piping & Cooling Limited Journeyperson | 2016-09-29 ~ 2017-08-31 |
| City | SAUCIER |
| Zip Code | 39574 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + SAUCIER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda D Gillam Md | 55 Old Farm Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy L Gillam | 109 Belvedere Drive, Meriden, CT 06450-2001 | Notary Public Appointment | 2007-09-14 ~ 2012-09-30 |
| Scott K Gillam | 41 Thornbush Road, Wethersfield, CT 06109 | Notary Public Appointment | 1987-06-22 ~ 1992-03-31 |
| Samantha Kay Buhr | 605 5th St, Gering, NE 69341-3818 | Registered Nurse | 2018-01-25 ~ 2018-07-31 |
| Samantha M Clayton | 8 2nd Ave, Rensselaer, NY 12144-2810 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Samantha L House | 12 Tamarack Cir, Trumbull, CT 06611-4616 | Registered Nurse | ~ |
| Samantha M Ford | 21 Amy Dr, Windsor, CT 06095-2611 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Samantha B Queen | 325 2nd St, Blackstone, VA 23824-2119 | Registered Nurse | 2011-12-01 ~ 2012-11-30 |
| Samantha A Nizich | 905 Mix Ave Apt 3h, Hamden, CT 06514-5149 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Samantha Salamon | 23 Harold St, Cos Cob, CT 06807 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on SAMANTHA GILLAM.
| 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).