JENNIFER JOHNSON WILLARD (Credential# 1991543) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 20, 2019. The license expiration date date is July 31, 2021. The license status is ACTIVE.
JENNIFER JOHNSON WILLARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.167157. The credential type is registered nurse. The effective date is December 20, 2019. The expiration date is July 31, 2021. The business address is 5133 River Chase Rdg, Winston Salem, NC 27104-4470. The current status is active.
| Licensee Name | JENNIFER JOHNSON WILLARD |
| Credential ID | 1991543 |
| Credential Number | 10.167157 |
| Credential Type | Registered Nurse |
| Business Address |
5133 River Chase Rdg Winston Salem NC 27104-4470 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-20 |
| Effective Date | 2019-12-20 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2019-12-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1991554 | 10.166997-TEMP | Registered Nurse - Temporary | 2019-12-13 | 2019-12-13 - 2020-04-11 | INACTIVE |
| Street Address | 5133 RIVER CHASE RDG |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-4470 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Dawn Shore | 381 Dover Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Donna J O'meara · Lyons | 827 Westover Ave, Winston Salem, NC 27104 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Teri Ann Learned | 4030 Dresden Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Arie Mantin | 1028 Greenhurst Rd, Winston Salem, NC 27104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna M Miller | 1025 Turtlerock Lane, Winston Salem, NC 27104 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Terresa A Long | 646 Balfour Road, Winston Salem, NC 27104 | Advanced Practice Registered Nurse | 2015-09-16 ~ 2016-09-30 |
| James T Brown · Bahnson Service Company | 268 Stanaford Rd, Winston-salem, NC 27104 | Professional Engineer | 1987-01-29 ~ 1988-01-31 |
| Dsa Group of Nc Inc | 1277 Kent Place Ln, Winston Salem, NC 27104 | Professional Engineer | 1989-03-16 ~ 1990-01-31 |
| Frederick W Kremkau | 5104 Huntcliff Trail, Winston-salem, NC 27104 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
| Douglas W Woolard Md | 792 Roslyn Road, Winston-salem, NC 27104 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Find all Licenses in zip 27104 | |||
| City | WINSTON SALEM |
| Zip Code | 27104 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Cullinan | 21 Willard Ave, Whitman, MA 02382-1241 | Registered Nurse | 2019-02-01 ~ 2020-01-31 |
| Jennifer L Csuka · Willard | 35 Hotchkiss Street, Berlin, CT 06037 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Jennifer M Johnson | 5 Spring St, Monson, MA 01057-1033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer Euling Johnson | Po Box 322, Litchfield, CT 06759 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer A Johnson | 22-46 79th St, Apt 3a, Jackson Heights, NY 11370 | Registered Nurse | 2013-08-01 ~ 2014-07-31 |
| Jennifer J Johnson | 1503 W 32nd St, Pueblo, CO 81008-1311 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Jennifer D Johnson | 5 Precourt Lane, Norton, MA 02766 | Registered Nurse | 1994-08-03 ~ 1995-09-30 |
| Jennifer M Johnson | 20 Westview Terr, Poughkeepsie, NY 12603 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Jennifer J Howard · Johnson | 11 King Arthur Dr, Niantic, CT 06357 | Registered Nurse | ~ 1995-05-31 |
| Jennifer D Johnson | 2819 Birch St, Yorktown Hts, NY 10598 | Advanced Practice Registered Nurse | 2005-12-21 ~ 2007-02-28 |
Please comment or provide details below to improve the information on JENNIFER JOHNSON WILLARD.
| 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).