MARY LISA NEIDICH (Credential# 1508511) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 11, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
MARY LISA NEIDICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.155103. The credential type is registered nurse. The effective date is October 11, 2018. The expiration date is August 31, 2019. The business address is 2941 E Willow Ave, Pheonix, AZ 85032. The current status is inactive.
Licensee Name | MARY LISA NEIDICH |
Credential ID | 1508511 |
Credential Number | 10.155103 |
Credential Type | Registered Nurse |
Business Address |
2941 E Willow Ave Pheonix AZ 85032 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2018-10-11 |
Effective Date | 2018-10-11 |
Expiration Date | 2019-08-31 |
Refresh Date | 2019-12-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1508761 | 10.149922-TEMP | Registered Nurse - Temporary | 2018-04-24 | 2018-04-24 - 2018-08-21 | INACTIVE |
Street Address | 2941 E Willow Ave |
City | Pheonix |
State | AZ |
Zip Code | 85032 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nick C King | 2820 E. Acoma Dr, Phoenix, AZ 85032 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
Xiamen Bassington Garment Co Ltd | 13835 N. Tatum Blvd, Phoenix, AZ 85032 | Manufacturer of Bedding & Upholstered Furniture | 2019-05-10 ~ 2020-04-30 |
Amalie Dimiceli | 15240 N 44th Pl, Phoenix, AZ 85032 | Veterinarian | 2020-05-01 ~ 2021-04-30 |
Krista A Evans | 16020 N 47th Pl, Phoenix, AZ 85032 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Patricia E Williams | 3702 E Dahlia Drive, Phoenix, AZ 85032 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
Joshua A Ward | 3711 E Gelding Dr, Phoenix, AZ 85032 | Electrical Unlimited Journeyperson | 2018-10-01 ~ 2019-09-30 |
Paul H Masse | 14814 N. 28th Place, Phoenix, AZ 85032 | Architect | 2014-09-09 ~ 2015-07-31 |
Cynthia E Kaufman · Rochette | 2929 E Redfield Road, Phoenix, AZ 85032 | Registered Nurse | 2013-08-01 ~ 2014-07-31 |
Kenda J Wallace · Wallace | 4356 E Winchcomb Drive, Phoenix, AZ 85032 | Registered Nurse | 2013-04-01 ~ 2014-03-31 |
Shauna R Walbourn | 4741 East Kathleen Road, Phoenix, AZ 85032 | Registered Nurse | 2010-03-01 ~ 2011-02-28 |
Find all Licenses in zip 85032 |
City | Pheonix |
Zip Code | 85032 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + Pheonix |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry K Neidich & Company Inc · Henry K Neidich | 110 S Central Ave, Hartsdale, NY 10530 | Real Estate Broker | 1997-06-10 ~ 1998-05-31 |
Lisa Mary Cronin | Po Box 94, Quogue, NY 11959-0094 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Lisa D Mathews · Dalby | 3 Mary Dr, Naugatuck, CT 06770 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Lisa Mary Travers | 85 Canary Place, Stratford, CT 06614 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Lisa Mary Lombardo | 1008 Truman Rd, East Norriton, PA 19403 | Registered Nurse | 2016-10-03 ~ 2017-10-31 |
Lisa Cassidy | 255 Primera Blvd Ste 400, Lake Mary, FL 32746-2162 | Registered Nurse - Temporary | 2017-01-31 ~ 2017-05-30 |
Lisa Mary Johnston | 948 Coral Club Dr, Coral Springs, FL 33071-5646 | Registered Nurse | ~ |
Andrew Neidich | 64 E Thorme St, Bridgeport, CT 06606 | Tv & Radio Service Dealer | ~ |
Haley P Neidich | 3945 2nd Ave N, Saint Petersburg, FL 33713-8322 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Mary H Troiano · Thom | 95 Lisa Ln, Lake Worth, FL 33463 | Licensed Practical Nurse | 2019-05-01 ~ 2020-04-30 |
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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).