NIKKI MANALAC FORMOSO (Credential# 2056939) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2020. The license expiration date date is October 16, 2020. The license status is ACTIVE.
NIKKI MANALAC FORMOSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.171745-TEMP. The credential type is registered nurse - temporary. The effective date is June 18, 2020. The expiration date is October 16, 2020. The business address is 234 Camposanto 2, Tarlac, PH 2308. The current status is active.
| Licensee Name | NIKKI MANALAC FORMOSO |
| Credential ID | 2056939 |
| Credential Number | 10.171745-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
234 Camposanto 2 Tarlac PH 2308 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-18 |
| Effective Date | 2020-06-18 |
| Expiration Date | 2020-10-16 |
| Refresh Date | 2020-06-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2053217 | 10 | Registered Nurse | - | PENDING |
| Street Address | 234 CAMPOSANTO 2 |
| City | TARLAC |
| State | PH |
| Zip Code | 2308 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon P Romero Ms. | 098 Macale Street, Bamban, Tarlac, PH 2317 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Emmielee C Betanio | Tarlac, PH 2302 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| City | TARLAC |
| Zip Code | 2308 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + TARLAC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nikki Taylor | 220 North 7th Avenue, Columbus, KS 66725 | Registered Nurse - Temporary | 2016-11-21 ~ 2017-03-20 |
| Emilie Manalac | 2400 Feather Sound Drive, Unit 228, Clearwater, FL 33762 | Registered Nurse | 2006-09-18 ~ 2007-10-31 |
| Nikki M Carino | 51 Koger Rd, Trumbull, CT 06611-4101 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nikki G Mazon | 931 Briarwood Ave, Bridgeport, CT 06604 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Nikki Parvus | Po Box 6009, Vero Beach, FL 32961 | Registered Nurse | ~ |
| Sandra L Hicks | 275 Nikki Ct, Franklin, OH 45005-4249 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Nikki Lyn Ogonowski | 101 Cameron Dr., Bristol, CT 06010 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Nikki Jayne Olson | 630 Park Ave, Beloit, WI 53511 | Registered Nurse | ~ |
| Nikki Dalton | 7 Chauncey Dr, Oxford, CT 06478-1260 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Nikki P Civitella | 65 Elm Street, Ansonia, CT 06401-2842 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
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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).