JAMES H WITHAM JR (Credential# 679673) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 28, 1998. The license expiration date date is October 31, 1999. The license status is INACTIVE.
JAMES H WITHAM JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001494. The credential type is advanced practice registered nurse. The effective date is October 28, 1998. The expiration date is October 31, 1999. The business address is 2037 Campbell Street, Jackson, TN 38305. The current status is inactive.
Licensee Name | JAMES H WITHAM JR |
Credential ID | 679673 |
Credential Number | 12.001494 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
2037 Campbell Street Jackson TN 38305 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1996-12-06 |
Effective Date | 1998-10-28 |
Expiration Date | 1999-10-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
646048 | 10.R45888 | Registered Nurse | 1990-05-01 | 1998-10-28 - 1999-10-31 | INACTIVE |
180932 | CSP.0025459 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-04-30 - 1998-02-28 | INACTIVE |
Street Address | 2037 CAMPBELL STREET |
City | JACKSON |
State | TN |
Zip Code | 38305 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell V Emery IIi | 76 Southpointe Dr, Jackson, TN 38305 | Architect | 2020-08-01 ~ 2021-07-31 |
Raymond J Watt | 40 Crestridge Drive, Jackson, TN 38305 | Nursing Home Administrator | 2020-03-01 ~ 2022-02-28 |
Cynthia Allyson Via | 44 Mcintosh Drive, Jackson, TN 38305 | Registered Nurse | 2019-01-09 ~ 2019-08-31 |
Robin Leigh Maguire | 31 Arbor Oak Drive, Jackson, TN 38305 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
H & M Design Services P.C. | 50 Security Dr, Jackson, TN 38305 | Architecture Corporation | 2019-08-01 ~ 2020-07-31 |
Maria Teresa Ortega | 153 Hillary Drive, Jackson, TN 38305 | Registered Nurse - Temporary | 2017-04-18 ~ 2017-08-15 |
Dempsie B Morrison IIi | 50 Security Drive, Jackson, TN 38305 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
Hampton Williams Jr | 96 Rolling Hills, Jackson, TN 38305 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
Zelda M Love | 5 Ashton Cove, Jackson, TN 38305 | Registered Nurse | 2008-07-11 ~ 2009-01-31 |
Rasheedah Madyun | 625 Walker Road, Jackson, TN 38305 | Registered Nurse | 2003-07-30 ~ 2004-02-29 |
Find all Licenses in zip 38305 |
City | JACKSON |
Zip Code | 38305 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + JACKSON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lindsey Brooke Witham | 268 Soundview Ave, Shelton, CT 06484-2137 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Patrick James Mccarty | 624 1st St S, Charlottesville, VA 22902-5608 | Advanced Practice Registered Nurse | 2017-01-01 ~ 2017-12-31 |
James C Roberson | 76 Pinehurst Ave Apt 5, New York, NY 10033 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
James E Peacock | Backus Hospital, Norwich, CT 06360 | Advanced Practice Registered Nurse | 2013-04-01 ~ 2014-03-31 |
James G Luton | 589 Society Hill Cir, The Villages, FL 32162-6128 | Advanced Practice Registered Nurse | 2012-06-01 ~ 2013-05-31 |
James E Cody Aprn | 428 Pitkin Hollow, Trumbull, CT 06611 | Advanced Practice Registered Nurse | 2003-04-16 ~ 2004-04-30 |
Susan M James Aprn | 11 Barberry Lane, Madison, CT 06443 | Advanced Practice Registered Nurse | 2016-05-01 ~ 2017-04-30 |
Christopher J Witham · Chris Witham Carpentry Services | 77-b Tolland Turnpike, Manchester, CT 06042 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Mae Joy E Falk | 40 Nutmeg Ct, Middletown, CT 06457-2394 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
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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).