BETH ANNE TRAVIS (Credential# 2037185) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is April 22, 2020. The license expiration date date is August 20, 2020. The license status is ACTIVE.
BETH ANNE TRAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.170261-TEMP. The credential type is registered nurse - temporary. The effective date is April 22, 2020. The expiration date is August 20, 2020. The business address is 307 Woodhull Ave, Port Jefferson Station, NY 11776. The current status is active.
| Licensee Name | BETH ANNE TRAVIS |
| Credential ID | 2037185 |
| Credential Number | 10.170261-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
307 Woodhull Ave Port Jefferson Station NY 11776 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-22 |
| Effective Date | 2020-04-22 |
| Expiration Date | 2020-08-20 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2036671 | 10 | Registered Nurse | - | PENDING |
| Street Address | 307 woodhull ave |
| City | port jefferson station |
| State | NY |
| Zip Code | 11776 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne Louise Downing | 7 Cully Street, Port Jefferson Station, NY 11776 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Kelly Ann Kosciuk | 5 Hancock Street, Port Jefferson Station, NY 11776 | Registered Nurse | 2020-03-06 ~ 2021-02-28 |
| Praimchand Nardeo | 15a East Grove Street, Port Jefferson Station, NY 11776 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Paul Lappano | 45 Bedford Ave, Port Jefferson Station, NY 11776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Stewart D Charaton | 3 Exeter Drive, Port Jefferson Station, NY 11776 | Notary Public Appointment | 2005-12-28 ~ 2010-12-31 |
| Jeffrey Lee Vacirca | 1500 Route 112 Building 4, Port Jefferson Station, NY 11776 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kristen Youngberg | 1 Evelyn Rd, Port Jeff Sta, NY 11776 | Massage Therapist | 2018-09-19 ~ 2020-09-30 |
| Paul Alan Werfel | 36 Sahenandoah Avlvd, Port Jefferson Station, NY 11776 | Emergency Medical Technician | ~ |
| Clark S Homan | 2 Pagnotta Drive, Port Jefferson, NY 11776 | Physician/surgeon | 2007-09-24 ~ 2008-10-31 |
| Michael Allen Hawley | 36 South Columbia St., Port Jefferson Station, NY 11776 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 11776 | |||
| City | port jefferson station |
| Zip Code | 11776 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + port jefferson station |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth Anne Stephenson | 4304 W. Rolling Meadows, Defiance, OH 43512 | Registered Nurse - Temporary | 2016-06-08 ~ 2016-10-05 |
| Nelson Mayama | 14 Travis St, Worcester, MA 01604-3229 | Registered Nurse - Temporary | 2019-09-30 ~ 2020-01-28 |
| Michael S Cole | 148 Travis Dr, Hazel Green, AL 35750-7636 | Registered Nurse - Temporary | 2014-11-26 ~ 2015-03-25 |
| Travis Adams | 848 N Rainbow Blvd Apt 631, Las Vegas, NV 89107-1103 | Registered Nurse - Temporary | 2010-04-26 ~ 2010-08-24 |
| Beth-anne Lyn Roy | 73 Park Ave Apt 2, Enfield, CT 06082-2982 | Registered Nurse | 2020-01-17 ~ 2020-06-30 |
| Mimosa Renee Travis | 2594 Kimball Ave, Memphis, TN 38114-4301 | Registered Nurse - Temporary | 2009-11-12 ~ 2010-03-12 |
| Beth Anne Demos | 317 Regent Dr, Duncan, SC 29334-8983 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Beth Anne Bailey | 387 Shaw Ave Ne, Massillon, OH 44646-4353 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Beth Anne Johnson | 908 New Bedford Dr, Deland, FL 32724-2952 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Beth Anne Livolsi | 68b Greenwood Avenue, Bethel, CT 06801 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on BETH ANNE TRAVIS.
| 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).