JUSTIN MELBOURNE (Credential# 2052732) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is June 5, 2020. The license expiration date date is October 3, 2020. The license status is ACTIVE.
JUSTIN MELBOURNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.171348-TEMP. The credential type is registered nurse - temporary. The effective date is June 5, 2020. The expiration date is October 3, 2020. The business address is 15 Old Boston Rd, Wilbraham, MA 01095-3500. The current status is active.
| Licensee Name | JUSTIN MELBOURNE |
| Credential ID | 2052732 |
| Credential Number | 10.171348-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
15 Old Boston Rd Wilbraham MA 01095-3500 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-05 |
| Effective Date | 2020-06-05 |
| Expiration Date | 2020-10-03 |
| Refresh Date | 2020-06-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2046288 | 10 | Registered Nurse | - | PENDING |
| Street Address | 15 OLD BOSTON RD |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-3500 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
| Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 01095 | |||
| City | WILBRAHAM |
| Zip Code | 01095 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + WILBRAHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paige C Hale | 185 Melbourne Ave, Akron, OH 44313-6524 | Registered Nurse - Temporary | 2010-11-10 ~ 2011-03-10 |
| Alyse R Walker | 4720 Decatur Cir, Melbourne, FL 32934-7292 | Registered Nurse - Temporary | 2018-09-14 ~ 2019-01-11 |
| Craig T Keatley | 1400 Tradition Cir Apt 102, Melbourne, FL 32901-2514 | Registered Nurse - Temporary | 2013-05-24 ~ 2013-09-20 |
| Ryan S Murphy | 4720 Decatur Cir, Melbourne, FL 32934-7292 | Registered Nurse - Temporary | 2018-09-17 ~ 2019-01-14 |
| Belle V Cordovez | 1879 Maeve Cir, Melbourne, FL 32904-7353 | Registered Nurse - Temporary | 2014-02-28 ~ 2014-06-27 |
| Valerie M Mcdonald | 2702 Englewood Dr, Melbourne, FL 32940-7186 | Registered Nurse - Temporary | 2012-05-16 ~ 2012-09-13 |
| Patricia M Zuro | 4681 Portage Trl, Melbourne, FL 32940-1546 | Registered Nurse - Temporary | 2013-12-11 ~ 2014-04-09 |
| Cheri L Traylor | 2514 Fausz Road, Melbourne, KY 41059 | Registered Nurse - Temporary | 2015-10-15 ~ 2016-02-11 |
| Jodiann Cole | 1588 Maeve Cir, West Melbourne, FL 32904-7346 | Registered Nurse - Temporary | 2019-11-08 ~ 2020-03-07 |
| Jeffrey David Beane | 2823 Ten Mile Rd, Melbourne, KY 41059-9335 | Registered Nurse - Temporary | 2018-06-23 ~ 2018-10-20 |
Please comment or provide details below to improve the information on JUSTIN MELBOURNE.
| 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).