KELLY ANN TAKACS CRNA (Credential# 619491) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KELLY ANN TAKACS CRNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E50295. The credential type is registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 14430 Ashleyville Ln, Midlothian, VA 23112. The current status is active.
| Licensee Name | KELLY ANN TAKACS CRNA |
| Credential ID | 619491 |
| Credential Number | 10.E50295 |
| Credential Type | Registered Nurse |
| Business Address |
14430 Ashleyville Ln Midlothian VA 23112 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-09-14 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680429 | 12.002251 | Advanced Practice Registered Nurse | 2000-03-13 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 241382 | CSP.0030048 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-09-12 | 2018-01-07 - 2019-02-28 | LAPSED |
| Street Address | 14430 Ashleyville Ln |
| City | Midlothian |
| State | VA |
| Zip Code | 23112 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brett R Grunert | 15333 Foxvale Way, Midlothian, VA 23112 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Brian M Ornder | 14006 Fortunes Ridge Court, Midlothian, VA 23112 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Soyoung Chon | 14720 Village Square Pl Apt #7, Midlothian, VA 23112 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Chi Hong Wu | 14743 Waters Shore Drive, Midlothian, VA 23112 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mark S Allen | 14507 Standing Oak Court, Midlothian, VA 23112 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
| You Young Chea | 5814 Laurel Trail Rd, Midlothian, VA 23112 | Emergency Medical Technician | ~ |
| Wesley H Grandmont Jr | 11842 Rimswell Place, Midlothian, VA 23112 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| William R Hestand | 5903 Fox Crest Court, Midlothian, VA 23112 | Professional Engineer | 2003-02-01 ~ 2004-01-31 |
| Alezis Dias | 400 Hailey Cresent, Midlothian, VA 23112 | Elevator Trainee | 2014-03-10 ~ 2014-08-31 |
| Jacquelin D Kelo | 4427 Heidi Place, Midlothian, VA 23112 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
| Find all Licenses in zip 23112 | |||
| City | Midlothian |
| Zip Code | 23112 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Midlothian |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea M Takacs | 460 Route 19, Hudson, NY 12534 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
| Frances Takacs | 145 Tuckahoe La, Fairfield, CT 06430 | Registered Nurse | 1994-10-25 ~ 1995-10-31 |
| Kathleen A Takacs | 145 Tuckahoe Ln, Fairfield, CT 06824-3414 | Registered Nurse | 1971-09-09 ~ 1972-02-28 |
| Jean S Takacs | 134 Colony St, Fairfield, CT 06430 | Registered Nurse | 2011-03-01 ~ 2012-02-29 |
| Alexandra Mary Takacs | 49 Mulford Rd, Lafayette, NJ 07848-3612 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Marcia A Takacs | 917 Sydney Drive, Charlotte, NC 28270 | Registered Nurse | 1996-11-22 ~ 1998-01-31 |
| Anne D Fleishell-kelly · Kelly | 68 Musket Ridge Rd, Wilton, CT 06897 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Maura E Kelly-sullivan · Kelly | 7698 Alta Cuesta, Cucamonga, CA 91730 | Registered Nurse | 1994-07-27 ~ 1995-07-31 |
| Barbara A Kelly-gibbs · Kelly | 2450 Cherry Blossom, Suffolk, VA 23434 | Registered Nurse | 2007-02-12 ~ 2008-03-31 |
| Rita T Sullivan · Takacs | 37 Beacon Hill Dr, Waterford, CT 06385-4107 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
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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).