TAMMY D FISHBACK (Credential# 676520) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.
TAMMY D FISHBACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.032719. The credential type is licensed practical nurse. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 2402 Frech Sea, San Antonio, TX 78219. The current status is inactive.
| Licensee Name | TAMMY D FISHBACK |
| Credential ID | 676520 |
| Credential Number | 11.032719 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
2402 Frech Sea San Antonio TX 78219 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-07-02 |
| Effective Date | 2011-10-01 |
| Expiration Date | 2012-09-30 |
| Refresh Date | 2013-01-07 |
| Street Address | 2402 Frech Sea |
| City | San Antonio |
| State | TX |
| Zip Code | 78219 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kci Usa Inc | 4958 Stout Dr, San Antonio, TX 78219 | Manufacturer of Bedding & Upholstered Furniture | 2012-05-01 ~ 2013-04-30 |
| Samantha L Hinojosa | 3507 Vinecrest Dr, San Antonio, TX 78219-1434 | Dietitian/nutritionist | 2019-11-01 ~ 2020-10-31 |
| Elizabeth Martinez | 818 Peggy Dr, San Antonio, TX 78219-4426 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Air Force Villages Charitable Foundation | 5100 John D Ryan Blvd, San Antonio, TX 78245-3527 | Public Charity | 2019-06-28 ~ 2020-05-31 |
| Jennifer M Poteet | 9418 Geronimo Oaks St, San Antonio, TX 78254-1724 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Whitney Marie Mick | 8034 Blackhawk Pass, San Antonio, TX 78253 | Registered Nurse | ~ |
| Venkata Praveen Mallina | 12330 Vance Jackson Rd, San Antonio, TX 78230 | Registered Nurse | ~ |
| Marlene Lodge | 13999 Old Blanco Road #213, San Antonio, TX 78216 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elvia Shope | 7458 Weybridge, San Antonio, TX 78250-3360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mark A. Romero | 6118 Wisteria Hl, San Antonio, TX 78218-3108 | Registered Nurse | 2020-06-24 ~ 2021-04-30 |
| Marilyn D Roca Montes | 26719 Rustic Brk, San Antonio, TX 78261-2384 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jill Suanne Galvan | 9603 Bandera Rd Apt 1021, San Antonio, TX 78250-5604 | Registered Nurse | 2020-06-19 ~ 2020-11-30 |
| Chaya Malka L Galin · Cheryl Lynch | 1540 W Bitters Rd Apt 2025, San Antonio, TX 78248-1494 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in San Antonio | |||
| City | San Antonio |
| Zip Code | 78219 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + San Antonio |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tammy L Piccirillo | 12 Elm St, Seymour, CT 06483-3603 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Tammy L Lemay | 25 Abbey Ln, Middletown, CT 06457-1999 | Licensed Practical Nurse | ~ |
| Tammy S Bowles | 208 Blue Sky Ln, Boone, NC 28607-6266 | Licensed Practical Nurse | ~ |
| Tammy L Hoyle | 390 Bee St Apt 523, Meriden, CT 06450-3555 | Licensed Practical Nurse | 2013-02-01 ~ 2014-01-31 |
| Khurram H Khan | 16 Tammy Dr, Middletown, NY 10941-2052 | Licensed Practical Nurse | 2012-12-01 ~ 2013-11-30 |
| Tammy J Banford | 44 Main St, Wales, MA 01081 | Licensed Practical Nurse | 2019-03-14 ~ 2019-07-31 |
| Tammy L Pierce | 282 N Harker Ave, Waterbury, CT 06705-2729 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Tammy H King | 2719 Dennard Rd Ne, Conyers, GA 30013-1181 | Licensed Practical Nurse | ~ |
| Tammy A Horne | 237 Central Ave, Torrington, CT 06790-6932 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Tammy L Casson | 32 King St, Wallingford, CT 06492 | Licensed Practical Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on TAMMY D FISHBACK.
| 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).