ANITA MAXINE BURBANK (Credential# 1619752) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ANITA MAXINE BURBANK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.159097. The credential type is registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 27 Stone Mill Ln, Saint Peters, MO 63376-7036. The current status is active.
Licensee Name | ANITA MAXINE BURBANK |
Credential ID | 1619752 |
Credential Number | 10.159097 |
Credential Type | Registered Nurse |
Business Address |
27 Stone Mill Ln Saint Peters MO 63376-7036 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-03-07 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1620044 | 10.156978-TEMP | Registered Nurse - Temporary | 2018-12-12 | 2018-12-12 - 2019-04-11 | INACTIVE |
Street Address | 27 STONE MILL LN |
City | SAINT PETERS |
State | MO |
Zip Code | 63376-7036 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Annette F Richardson-latham | 221 Park Charles Blvd. N., St. Peters, MO 63376 | Registered Nurse | ~ |
Leah E Evans | 335 Revolution Drive, St. Peters, MO 63376 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jody Elaine Rivas | 7 Blackwood Lane, St. Peters, MO 63376 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Excel Pharmacy Inc | 505 Salt Lick Rd, Saint Peters, MO 63376 | Nonresident Pharmacy | ~ |
Melissa Lee Smith | 883 Boca Raton Dr, St Peters, MO 63376 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Robert James Mcdonnell | 4006 Northbridge Dr, St. Peters, MO 63376 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Terri D Bond | 16 Meandering Ln, St. Peters, MO 63376 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Narcissa Y Ojeda | 32 Barkwood Trails Drive, Saint Peters, MO 63376 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Teresa Sue Vivion | 233 Barrington Drive, St. Peters, MO 63376 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
Megan Marie Donaldson | 244 Barrington Drive, Saint Peters, MO 63376 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
Find all Licenses in zip 63376 |
City | SAINT PETERS |
Zip Code | 63376 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + SAINT PETERS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roger B Phillips Inc | 133 E Santa Anita Ave, Burbank, CA 91502 | Major Contractor | 2001-07-05 ~ 2002-06-30 |
Maxine L Pomerenke | 57 Maxine Road, Plainville, CT 06062 | Notary Public Appointment | 2014-04-01 ~ 2019-04-30 |
Kelly N Nelson | 16 Burbank Ave, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Edward J Sadak | 31 Burbank St, Boston, MA 02115 | Registered Nurse | ~ 1997-09-30 |
Lori J Kahan | Rfd #1 Burbank Rd, Stafford, CT 06076 | Registered Nurse | 1983-09-12 ~ 1984-08-31 |
Sharman Divono | 990 W Riverside Dr, #19, Burbank, CA 91506 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Maryellen Burbank | 31 South Rd Apt 1, Rockport, MA 01966 | Registered Nurse | 1995-12-04 ~ 1996-11-30 |
Rebecca A Naylor | 382 N Hollywood Way, Burbank, CA 91505 | Registered Nurse | 1998-09-11 ~ 1999-09-30 |
Alison L Seno | 930 No Catalina St, Burbank, CA 91505 | Registered Nurse | 1992-10-23 ~ 1993-06-30 |
Therese A Muo | 4141 W Kling St Apt 27, Burbank, CA 91505-3314 | Registered Nurse | 2013-12-18 ~ 2014-10-31 |
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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).