BETH E LANDIS (Credential# 679566) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 2, 2003. The license expiration date date is May 31, 2004. The license status is INACTIVE.
BETH E LANDIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001386. The credential type is advanced practice registered nurse. The effective date is May 2, 2003. The expiration date is May 31, 2004. The business address is 2309 Revere Drive, Goshen, IN 46526. The current status is inactive.
| Licensee Name | BETH E LANDIS |
| Credential ID | 679566 |
| Credential Number | 12.001386 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
2309 Revere Drive Goshen IN 46526 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-07-26 |
| Effective Date | 2003-05-02 |
| Expiration Date | 2004-05-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 652703 | 10.R52958 | Registered Nurse | 1996-07-26 | 2000-03-22 - 2001-05-31 | INACTIVE |
| Street Address | 2309 REVERE DRIVE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Francesca Louise Potts | 1430 Twin Flower Drive, Goshen, IN 46526 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Bonnie L Blosser | 19330 Cr 40, Goshen, IN 46526 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Independent Protection Co Inc · Turtle Top | 1607 S Main St, Goshen, IN 46526 | Motor Vehicle Manufacturer (llm) | ~ |
| Keystone Rv Company | 17400 Hackberry Dr, Goshen, IN 46526 | Motor Vehicle Manufacturer (llm) | ~ |
| Ned C Myers | P O Box 1114, Goshen, IN 46526 | Professional Engineer | 2002-02-01 ~ 2003-01-31 |
| Mary M Hastings | 103 So 8th St, Goshen, IN 46526 | Registered Nurse | 1992-02-24 ~ 1993-01-31 |
| Wesley Davis | 22897 Catalpa Ct, Goshen, IN 46526 | Registered Nurse | 1993-11-30 ~ 1994-11-30 |
| Hisa Asaoka | 1546 Greencroft Dr, Goshen, IN 46526 | Registered Nurse | 1999-09-13 ~ 2000-11-30 |
| Randall L Lehman | 305 Mount Vernon Dr, Goshen, IN 46526-1429 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Diane M Berg | 814 S 14th St, Goshen, IN 46526-4466 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Find all Licenses in zip 46526 | |||
| City | GOSHEN |
| Zip Code | 46526 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + GOSHEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth W Fanning | 5 Stony Way, Avon, CT 06001 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kimberly Beth Weaver | 12 Sherrard Ave, Greenville, PA 16125-1842 | Advanced Practice Registered Nurse | 2019-06-11 ~ 2020-04-30 |
| Jennifer D Marlin | 38 Mary Beth Ln, Harwich, MA 02645 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Beth A Swartz | 78granville Rd Condo 38, Westfield, MA 01085 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Mary Beth Barry | 36 Lawrence Ave, Avon, CT 06001-3620 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Beth Anne V Jalbert | 22 Schilke Dr, Westerly, RI 02891-1401 | Advanced Practice Registered Nurse | 2012-05-01 ~ 2012-12-31 |
| Katherine Beth Green Aprn | 208 S Garcon Point Road, Milton, FL 32583 | Advanced Practice Registered Nurse | 2002-03-04 ~ 2003-04-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Carol A Bova | P.o. Box 215, Princeton, MA 01541 | Advanced Practice Registered Nurse | 2009-12-01 ~ 2010-11-30 |
| Ann M Pechulis | 269 Captain Rd, Longmeadow, MA 01106-2549 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on BETH E LANDIS.
| 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).