TARA DAVIS (Credential# 1531610) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 3, 2018. The license expiration date date is December 31, 2018. The license status is INACTIVE.
TARA DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.154910. The credential type is registered nurse. The effective date is October 3, 2018. The expiration date is December 31, 2018. The business address is 2385 Pickett Ln, Enola, PA 17025-3331. The current status is inactive.
| Licensee Name | TARA DAVIS |
| Credential ID | 1531610 |
| Credential Number | 10.154910 |
| Credential Type | Registered Nurse |
| Business Address |
2385 Pickett Ln Enola PA 17025-3331 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-10-03 |
| Effective Date | 2018-10-03 |
| Expiration Date | 2018-12-31 |
| Refresh Date | 2019-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1532884 | 10.152480-TEMP | Registered Nurse - Temporary | 2018-07-26 | 2018-07-26 - 2018-11-22 | INACTIVE |
| Street Address | 2385 PICKETT LN |
| City | ENOLA |
| State | PA |
| Zip Code | 17025-3331 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard L Kreiger | 116 Carol Lane, Enola, PA 17025 | Professional Engineer | 2020-02-05 ~ 2021-01-31 |
| Rong Zheng | 2220 Wynnwood Court, Enola, PA 17025 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Jacklyn Rose Baja | 3902 Lilac Ln, Enola, PA 17025 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Tracy Kohn | 501 North Enola Road, Enola, PA 17025 | Registered Nurse | 1999-04-26 ~ 2000-05-31 |
| Mark R Bazar | 98 Autumn Lane, Enola, PA 17025 | Pharmacist | 1995-04-01 ~ 1996-01-31 |
| Savita Sood | 5007 Pellingham Cir, Enola, PA 17025-1292 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benatec Assoc Inc | 305 Wertzville Rd, Enola, PA 17052 | Professional Engineer | 1989-03-13 ~ 1990-01-31 |
| City | ENOLA |
| Zip Code | 17025 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + ENOLA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Nicole Davis | 6998 Kt Davis Road, Bessemer, AL 35022 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Laurie-ann Davis Avidale Davis-steele | 51 Marjorie Ln, Manchester, CT 06042-2076 | Registered Nurse | 2019-11-01 ~ 2020-11-30 |
| Tara Skurulsky | 224 8th St, Prairie Du Sac, WI 53578 | Registered Nurse | 2001-03-19 ~ 2002-03-31 |
| Tara L Deer | 404 S First St, Fisher, IL 61843 | Registered Nurse | 2001-03-12 ~ 2002-03-31 |
| Tara M Dennis | Po Box 123, Huntington, MA 01050-0123 | Registered Nurse | 2016-11-01 ~ 2017-10-31 |
| Tara N Parker | 502 Oak Ave. #19, Cheshire, CT 06410 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Tara J Fischetti | 81 Orchard St, Cos Cob, CT 06807-2008 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Tara A Swenson | 25 Van Wyck Ct, Wallkill, NY 12589-4068 | Registered Nurse | 2015-01-01 ~ 2015-12-31 |
| Tara A Romero | 82 Kings Way, Pawling, NY 12564-2162 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| Tara A Borchert | 2 William St, Waterford, CT 06385-2326 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on TARA DAVIS.
| 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).