MARY ELLEN CHAFFIN (Credential# 1464937) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.
MARY ELLEN CHAFFIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.147400. The credential type is registered nurse. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 115 Tucker Ave, Winston Salem, NC 27104-3727. The current status is inactive.
| Licensee Name | MARY ELLEN CHAFFIN |
| Credential ID | 1464937 |
| Credential Number | 10.147400 |
| Credential Type | Registered Nurse |
| Business Address |
115 Tucker Ave Winston Salem NC 27104-3727 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-12-22 |
| Effective Date | 2018-12-01 |
| Expiration Date | 2019-11-30 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1467271 | 10.147244-TEMP | Registered Nurse - Temporary | 2017-12-18 | 2017-12-18 - 2018-04-16 | INACTIVE |
| Street Address | 115 TUCKER AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3727 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Dawn Shore | 381 Dover Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Donna J O'meara · Lyons | 827 Westover Ave, Winston Salem, NC 27104 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Teri Ann Learned | 4030 Dresden Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Arie Mantin | 1028 Greenhurst Rd, Winston Salem, NC 27104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna M Miller | 1025 Turtlerock Lane, Winston Salem, NC 27104 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Terresa A Long | 646 Balfour Road, Winston Salem, NC 27104 | Advanced Practice Registered Nurse | 2015-09-16 ~ 2016-09-30 |
| James T Brown · Bahnson Service Company | 268 Stanaford Rd, Winston-salem, NC 27104 | Professional Engineer | 1987-01-29 ~ 1988-01-31 |
| Dsa Group of Nc Inc | 1277 Kent Place Ln, Winston Salem, NC 27104 | Professional Engineer | 1989-03-16 ~ 1990-01-31 |
| Frederick W Kremkau | 5104 Huntcliff Trail, Winston-salem, NC 27104 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
| Douglas W Woolard Md | 792 Roslyn Road, Winston-salem, NC 27104 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Find all Licenses in zip 27104 | |||
| City | WINSTON SALEM |
| Zip Code | 27104 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheryl Ellen Chaffin | 7 Seminole Rd, Huntington, WV 25705-4123 | Registered Nurse - Temporary | 2019-11-06 ~ 2020-03-05 |
| Mary M Cornelius | 197 Mary Ellen Drive, Milford, CT 06460 | Registered Nurse | 2001-04-19 ~ 2002-06-30 |
| Cheri A Chaffin | 700 Green St, Auburn, AL 36830 | Registered Nurse | 2008-10-17 ~ 2009-09-30 |
| Mary Ellen B Smith | 62 Kim Ln, Meriden, CT 06450-6927 | Registered Nurse | 2014-05-01 ~ 2015-04-30 |
| Mary Ellen Amerighi | Po Box 511, Georgetown, ME 04548-0511 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mary Ellen Johnson | 123 Barbara Rd, Middletown, CT 06457-2401 | Registered Nurse | ~ |
| Carolyn Chaffin | 4900 Koger Blvd, Greensboro, NC 27407 | Registered Nurse | 2019-10-21 ~ 2020-09-30 |
| Mary Ellen Curry | 607 Wauregan Rd, Brooklyn, CT 06234-2547 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Mary Howe Miller | 40 Ellen St, Norwalk, CT 06851-2520 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Mary Ellen Coleman | 40 Godfrey Rd W, Weston, CT 06883-1315 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on MARY ELLEN CHAFFIN.
| 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).