DEBRA A WALLACE (Credential# 677075) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2011. The license expiration date date is July 31, 2012. The license status is INACTIVE.
DEBRA A WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.033274. The credential type is licensed practical nurse. The effective date is August 1, 2011. The expiration date is July 31, 2012. The business address is 25279 W Carter Ct, Buckeye, AZ 85326-2550. The current status is inactive.
Licensee Name | DEBRA A WALLACE |
Credential ID | 677075 |
Credential Number | 11.033274 |
Credential Type | Licensed Practical Nurse |
Business Address |
25279 W Carter Ct Buckeye AZ 85326-2550 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-05-05 |
Effective Date | 2011-08-01 |
Expiration Date | 2012-07-31 |
Refresh Date | 2012-11-02 |
Street Address | 25279 W CARTER CT |
City | BUCKEYE |
State | AZ |
Zip Code | 85326-2550 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristine Sutter · Bastenbeck | 19725 W Jackson St, Buckeye, AZ 85326 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Wanda Jean Anderson | 25424 West Carson Drive, Buckeye, AZ 85326 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Lamar Ann Portugal | 19828 W Buchanan St, Buckeye, AZ 85326 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Madeline Aguayo · Medina | 4104 S 249th Drive, Buckeye, AZ 85326 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Sydney N Surprenant | 5880 S 236th Dr, Buckeye, AZ 85326 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Kenneth P Gallosky | 25032 W Dove Gap, Buckeye, AZ 85326 | Heating, Piping & Cooling Unlimited Contractor | 2016-09-01 ~ 2017-08-31 |
David W Minchew · Pci Energy Services | 7448 S Horizon Ct, Buckeye, AZ 85326-1169 | Heating, Piping & Cooling Limited Journeyperson | 2015-09-01 ~ 2016-08-31 |
Stephen A Beckman | 502 E Roosevelt Ave Apt B, Buckeye, AZ 85326-2634 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Judith R Fulgencio-mano | 23766 W Lumbee St, Buckeye, AZ 85326-3508 | Physical Therapist | 2019-07-01 ~ 2020-06-30 |
Cheryl L Bertelli | 23806 W Harrison Dr, Buckeye, AZ 85326-3538 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 85326 |
City | BUCKEYE |
Zip Code | 85326 |
License Type | Licensed Practical Nurse |
License Type + County | Licensed Practical Nurse + BUCKEYE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wallace E Williams | P O Box 531, Ayden, NC 28513 | Licensed Practical Nurse | 1996-12-23 ~ 1998-01-31 |
Valerie M Wallace | Po Box 1513, Hartford, CT 06144 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
Cardene C Wallace | 69 Pleasant St, New Rochelle, NY 10801 | Licensed Practical Nurse | 2019-02-01 ~ 2020-01-31 |
Adrienne Wallace | 57 Lousiana Ave, Bristol, CT 06010 | Licensed Practical Nurse | 2006-10-18 ~ 2007-11-30 |
Margaret S Wallace | 20 Beech Rd, Tolland, CT 06084 | Licensed Practical Nurse | 1995-10-11 ~ 1996-12-31 |
Mary Ann Wallace | 91 Sylvan St, Avon, CT 06001 | Licensed Practical Nurse | 2000-02-24 ~ 2001-03-31 |
Marc H Seide | 128 Wallace Rd, Brunswick, GA 31520-1331 | Licensed Practical Nurse | 2015-05-01 ~ 2016-04-30 |
Sandra I Ramirez | 8 Wallace Row Fl 2, Wallingford, CT 06492-3137 | Licensed Practical Nurse | 2019-05-01 ~ 2020-04-30 |
Tammy M Wallace | 59 Terrace Rd, Milford, CT 06460-7771 | Licensed Practical Nurse | 2020-03-23 ~ 2020-10-31 |
Byron Wallace | 54 Amanda Cir, Windsor, CT 06095-3464 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
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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).