MARY ANN BERTHOLOMEY (Credential# 1528720) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
MARY ANN BERTHOLOMEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.154824. The credential type is registered nurse. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 136 Perseverance Dr, Poplar Bluff, MO 63901-5261. The current status is active.
| Licensee Name | MARY ANN BERTHOLOMEY |
| Credential ID | 1528720 |
| Credential Number | 10.154824 |
| Credential Type | Registered Nurse |
| Business Address |
136 Perseverance Dr Poplar Bluff MO 63901-5261 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-01 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-09-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1530100 | 10.152002-TEMP | Registered Nurse - Temporary | 2018-07-13 | 2018-07-13 - 2018-11-09 | INACTIVE |
| Street Address | 136 PERSEVERANCE DR |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-5261 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roland Njoh | 267 Boulder Trail Drive, Poplar Bluff, MO 63901 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Christina J Nabert | 109 Cr 556, Poplae Bluff, MO 63901 | Registered Nurse | 2008-03-10 ~ 2009-03-31 |
| Syed N Haider | Apartment #14, Poplar Bluff, MD 63901 | Physician/surgeon | ~ 1996-07-31 |
| Robert A Haldeman | 953 Pershing St, Poplar Bluff, MO 63901 | Registered Nurse | 2002-02-26 ~ 2002-11-30 |
| Jahan Q Zeb | 2525 Barron Rd, Poplar Bluff, MO 63901-1913 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Yolanda T Myers | 850 Wilcox Rd Apt 2, Poplar Bluff, MO 63901-2614 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Evette B Osuegbu | 1601 Ellen Dr, Poplar Bluff, MO 63901-2901 | Registered Nurse - Temporary | 2019-01-17 ~ 2019-05-17 |
| Mber Denise Eads | 412 Lester St, Poplar Bluff, MO 63901-5102 | Registered Nurse | ~ |
| City | POPLAR BLUFF |
| Zip Code | 63901 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + POPLAR BLUFF |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary M Cornelius | 197 Mary Ellen Drive, Milford, CT 06460 | Registered Nurse | 2001-04-19 ~ 2002-06-30 |
| Mary M Bazaldua | 12 Mary Road, Burlington, CT 06013 | Registered Nurse | 1992-12-22 ~ 1993-12-31 |
| Mary Jo Duddie | 22 Mary Ln, Colchester, CT 06415-2305 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| Mary Beth Spillane · Mary Beth Abram | 145 Carriage Way, Windsor, CT 06095 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary M Johnson | CT | Registered Nurse | ~ |
| Mary E Caswell · Mary's Masonary | 3 Stillman Rd, North Stonington, CT 06359-1734 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Mary Jean Thibodeau · Lenthe | 52 Mary Ln, Vernon Rockville, CT 06066-2814 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary Louise Echeandia | Po Box 354, Cobalt, CT 06414-0354 | Registered Nurse | ~ |
| Mary E Rogers | Po Box 181, Okag, OK 74446 | Registered Nurse | 1992-06-25 ~ 1993-06-30 |
| Mary C Chrabaszcz | Po Box 982, Bondsville, MA 01009-0982 | Registered Nurse | 2015-04-01 ~ 2016-03-31 |
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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).