MICHELLE ANN JACKSON (Credential# 2006348) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MICHELLE ANN JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.169770. The credential type is registered nurse. The effective date is April 1, 2020. The expiration date is April 30, 2021. The business address is 163 Poospatuck Lane, Mastic, NY 11950. The current status is active.
Licensee Name | MICHELLE ANN JACKSON |
Credential ID | 2006348 |
Credential Number | 10.169770 |
Credential Type | Registered Nurse |
Business Address |
163 Poospatuck Lane Mastic NY 11950 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-04-01 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2039498 | 12 | Advanced Practice Registered Nurse | - | PENDING |
Street Address | 163 POOSPATUCK LANE |
City | MASTIC |
State | NY |
Zip Code | 11950 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Ciaramella | 29 Moriches Avenue, Mastic, NY 11950 | Home Improvement Salesperson | 2015-06-12 ~ 2015-11-30 |
William Weiss | 66 Broadway Ave, Mastic, NY 11950 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
Salvatore Zurica | 182 Monroe Street, Mastic, NY 11950 | Tv & Radio Limited Dish Antenna Technician | ~ |
Ayesha Latonya Williams | 27 Gores Dr, Mastic, NY 11950-2007 | Licensed Practical Nurse | ~ |
Chris Rosado | 7 Lafayette Ave, Mastic, NY 11950-2805 | Tv & Radio Limited Dish Antenna Technician | 2012-09-01 ~ 2013-08-31 |
Andrew S Keller | 5 Terapin St, Mastic, NY 11950-4512 | Tv & Radio Limited Dish Antenna Technician | 2012-09-01 ~ 2013-08-31 |
Frederick N Dechirico | 20 Terapin St, Mastic, NY 11950-4513 | Tv & Radio Limited Dish Antenna Technician | 2010-09-01 ~ 2011-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
George Blinn | 55 Sweetbriar Dr, Mastic, NY 11952 | Plumbing & Piping Unlimited Journeyperson | ~ |
City | MASTIC |
Zip Code | 11950 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + MASTIC |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michelle P Smith | 108 Jackson Rd, Plainfield, CT 06374-1430 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Michelle D Baldwin | 48 Sandpiper Place, Jackson, TN 38305 | Registered Nurse | 2008-03-17 ~ 2008-12-31 |
Michelle Renee Lefevre | 49 Craven Cv, Jackson, TN 38305-9445 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Jennifer Michelle Jackson | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Carol Michelle Jackson | 492 Ironstone, Fairburn, GA 30213 | Registered Nurse - Temporary | 2017-07-26 ~ 2017-11-22 |
Michelle Leida Montanez | 242 Jackson Ave, Stratford, CT 06615-6214 | Licensed Practical Nurse | 2019-10-11 ~ 2020-10-31 |
Rachel Alexa Jackson | 272 Jackson Rd, Hopewell Junction, NY 12533-8603 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Heather E Jackson | 272 Jackson Road, Hopewell Junction, NY 12533 | Registered Nurse | 2008-09-18 ~ 2009-11-30 |
Ladonna J Jackson · Jackson | 81 Briarwood Rd, Waltham, MA 02452-8137 | Registered Nurse | 2019-09-09 ~ 2020-09-30 |
Tamika Michelle Wooden | 12975 Michelle Dr, Frisco, TX 75035 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
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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).