MONA- GAYLE M WALLACE (Credential# 672111) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
MONA- GAYLE M WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.028309. The credential type is licensed practical nurse. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 1132 Keldon Drive, San Jose, CA 95121. The current status is active.
| Licensee Name | MONA- GAYLE M WALLACE |
| Credential ID | 672111 |
| Credential Number | 11.028309 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
1132 Keldon Drive San Jose CA 95121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-01-22 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-19 |
| Street Address | 1132 KELDON DRIVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Victoria Huynh Phan | 2498 Kenoga Dr., San Jose, CA 95121 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Eloisa R Vicente | 2951 Erica Ct, San Jose, CA 95121 | Registered Nurse | 2005-04-22 ~ 2006-06-30 |
| Sandra F West | 3338 Woodside La, San Jose, CA 95121 | Registered Nurse | 1996-03-11 ~ 1997-02-28 |
| Jill M Nagel · Brashaw | 4449 Lanes End Place, San Jose, CA 95121 | Advanced Practice Registered Nurse | 2000-06-12 ~ 2001-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kayla Rose King | 3180 Rubino Dr Apt 217, San Jose, CA 95125-6371 | Occupational Therapist | ~ |
| B Davis Inc | 1441a Terminal Ave, San Jose, CA 95112-4314 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| John Lambros Siderides | 3473 North 1st Street, Apartment 580, San Jose, CA 95134 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Cunningham | 1223 Weeping Oaks Court, San Jose, CA 95120 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Western Mountain Sports | 1025 S 5th St, San Jose, CA 95112 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-28 ~ 2021-04-30 |
| Jenny S. Sam Ho | 1469 Asheboro Ct., San Jose, CA 95131 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Second Harvest of Silicon Valley | 750 Curtner Ave, San Jose, CA 95125-2113 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Claudine Lott | 145 Nicholson Ln, San Jose, CA 95134-1359 | Physician/surgeon | ~ |
| Amanda Liu | 4207 Hamilton Ave, San Jose, CA 95130-1462 | Registered Nurse | 2020-05-12 ~ 2020-12-31 |
| Mdinr LLC | 1718 Stone Ave Ste B, San Jose, CA 95125-1333 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in SAN JOSE | |||
| City | SAN JOSE |
| Zip Code | 95121 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + SAN JOSE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mona L Begeal | Hc 72 Box 59, Hancock, NY 13783 | Licensed Practical Nurse | 2001-01-02 ~ 2002-01-31 |
| Mona E Scanlon | P O Box 247, Cheboygan, MI 49721 | Licensed Practical Nurse | 1999-07-26 ~ 2000-09-30 |
| Mona Dunn | 1 Old Oak Ct, Bloomfield, CT 06002-1791 | Licensed Practical Nurse | 2019-10-01 ~ 2020-09-30 |
| Mona J Huggard | 58 Vincent Rd, Bristol, CT 06010 | Licensed Practical Nurse | 2016-12-01 ~ 2017-11-30 |
| Mona L Savage | 17 Nora St, Lisbon, CT 06351 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| James C Ramey | 12 Mona Ave, Branford, CT 06405-3410 | Licensed Practical Nurse | 2019-06-01 ~ 2020-05-31 |
| Margaret M Hart | 26 Mona Ave, Branford, CT 06405-3410 | Licensed Practical Nurse | 2019-04-01 ~ 2020-03-31 |
| Jeseca Zuelica Desena | 12 Mona Ave, Branford, CT 06405-3410 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Aneika Gayle | 362 Holcomb St, Hartford, CT 06112-1330 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Gayle K Gangaware | 10 South Third Ave, Taftville, CT 06380 | Licensed Practical Nurse | 2008-12-15 ~ 2009-12-31 |
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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).