LISA RENAE JENIKE (Credential# 1501486) 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.
LISA RENAE JENIKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.149590. The credential type is registered nurse. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 33 Ridgewood Ter, Northampton, MA 01060-1631. The current status is inactive.
Licensee Name | LISA RENAE JENIKE |
Credential ID | 1501486 |
Credential Number | 10.149590 |
Credential Type | Registered Nurse |
Business Address |
33 Ridgewood Ter Northampton MA 01060-1631 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2018-04-06 |
Effective Date | 2018-12-01 |
Expiration Date | 2019-11-30 |
Refresh Date | 2020-03-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1488010 | 12 | Advanced Practice Registered Nurse | - | EXPIRED APPLICATION |
Street Address | 33 RIDGEWOOD TER |
City | NORTHAMPTON |
State | MA |
Zip Code | 01060-1631 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Martha H Lyon | 313 Elm St, Northampton, MA 01060 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Joanne N Corbin | 73 Barrett St., Northampton, MA 01060 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Anna C. Southam | 74 Bridge St #4, Northampton, MA 01060 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Christine Marie Grimaldi | 49 Pine Brook Curve, Northampton, MA 01060 | Occupational Therapist | 2020-05-21 ~ 2021-07-31 |
Ali Haider | 51 Phillips Place, Northampton, MA 01060 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Paul W Harrigan | 63 Center Street, Northampton, MA 01060 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
Barbara A Maronn | 243 King Street, Ste 107, Northampton, MA 01060 | Tax Preparer/facilitator Permit | 2020-03-10 ~ 2022-03-31 |
Carol Karney | 37 Fair Street, Northampton, MA 01060 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Jason Doyon | 9 1/2 Market Street, Northampton, MA 01060 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
Deevia Chandrakant Patel | 111 Prospect Street, Northampton, MA 01060 | Physician/surgeon | 2020-02-07 ~ 2020-10-31 |
Find all Licenses in zip 01060 |
City | NORTHAMPTON |
Zip Code | 01060 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + NORTHAMPTON |
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Terri-ann Renae Mclean | 4055 Duryea Ave, Bronx, NY 10466 | Registered Nurse | ~ |
Camilla Renae Albee | 507 N Washington St, Raymore, MO 64083-9551 | Registered Nurse | 2011-10-05 ~ 2012-08-31 |
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Renae Brotherton | 13811 W Watson Ln, Surprise, AZ 85379-8419 | Registered Nurse | 2018-04-11 ~ 2019-04-30 |
Suzan Renae Thomas | 745 Highway 487 E, Carthage, MS 39051-6023 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
Renae C Tarino | 124 Lake Dr, Mountain Lakes, NJ 07046-1646 | Registered Nurse | 2019-11-14 ~ 2020-08-31 |
Jackalyn Renae Bargman | 700 120th Ave Ne, Blaine, MN 55434-3019 | Registered Nurse | 2018-01-01 ~ 2018-12-31 |
Michele Renae Caldwell | 403 Ballentine Ct, Hutto, TX 78634 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
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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).