STEPHANIE D BASS (Credential# 749213) is licensed (Respiratory Care Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 2, 2011. The license expiration date date is December 31, 2011. The license status is INACTIVE.
STEPHANIE D BASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #26.002295. The credential type is respiratory care practitioner. The effective date is June 2, 2011. The expiration date is December 31, 2011. The business address is 2391 Mount Vernon Road, Lithia Springs, GA 30122-3514. The current status is inactive.
| Licensee Name | STEPHANIE D BASS |
| Credential ID | 749213 |
| Credential Number | 26.002295 |
| Credential Type | Respiratory Care Practitioner |
| Business Address |
2391 Mount Vernon Road Lithia Springs GA 30122-3514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-01-31 |
| Effective Date | 2011-06-02 |
| Expiration Date | 2011-12-31 |
| Refresh Date | 2014-07-24 |
| Street Address | 2391 MOUNT VERNON ROAD |
| City | LITHIA SPRINGS |
| State | GA |
| Zip Code | 30122-3514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julian C Bass | 2391 Mount Vernon Rd, Lithia Springs, GA 30122-3514 | Respiratory Care Practitioner | 2011-06-02 ~ 2012-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan S Jose | 1845 Jenny Lane, Lithia Springs, GA 30122 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Donna J Tomlin | 2112 Treelodge Parkway, Lithia Springs, GA 30122 | Licensed Practical Nurse | 2019-04-01 ~ 2020-03-31 |
| Tunisha Nicole Maffett | 901 Columns Drive, Lithia Springs, GA 30122 | Registered Nurse - Temporary | 2018-08-28 ~ 2018-12-25 |
| Candace F Clarke | 2260 Valley Creek Dr, Lithia Springs, GA 30122 | Registered Nurse | 2009-12-01 ~ 2010-11-30 |
| Sherry A Horsfall | 15 Millhouse Way, Dallas, GA 30122 | Registered Nurse | 2006-06-21 ~ 2007-04-30 |
| Leticia Brown | 7710 Parkside Drive, Lithia Springs, GA 30122 | Licensed Practical Nurse | 2007-07-02 ~ 2008-02-29 |
| David C Ebdon | 1088 Silver Moon Trl, Lithia Springs, GA 30122 | Registered Nurse | 1998-01-09 ~ 1999-03-31 |
| Marcia G Buster | 2020 Rolling Rock Ct, Lithia Springs, GA 30122 | Registered Nurse | 2007-12-18 ~ 2009-01-31 |
| Proactive Labs Inc | 240-a Thornton Road, Lithia Springs, GA 30122 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2005-07-01 ~ 2006-06-30 |
| Prentiss C Tomlin | 2112 Tree Lodge Pkwy, Lithia Springs, GA 30122-2184 | Licensed Practical Nurse | 2020-04-22 ~ 2020-09-30 |
| Find all Licenses in zip 30122 | |||
| City | LITHIA SPRINGS |
| Zip Code | 30122 |
| License Type | Respiratory Care Practitioner |
| License Type + County | Respiratory Care Practitioner + LITHIA SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne A. Clyburn | 30 Bass Dr, Groton, CT 06340-5408 | Respiratory Care Practitioner | 2013-11-01 ~ 2014-10-31 |
| Julian C Bass | 2391 Mount Vernon Rd, Lithia Springs, GA 30122-3514 | Respiratory Care Practitioner | 2011-06-02 ~ 2012-02-29 |
| Stephanie Rodriguez | 55 Love Ln, Manchester, CT 06040-2678 | Respiratory Care Practitioner | 2020-01-01 ~ 2020-12-31 |
| Stephanie Arteaga | 85 Cooper St, Manchester, CT 06040-4959 | Respiratory Care Practitioner | 2020-06-01 ~ 2021-05-31 |
| Stephanie G Mejia | 200 Evergreen Ave Apt 6d, Hamden, CT 06518-2723 | Respiratory Care Practitioner | 2012-04-01 ~ 2013-03-31 |
| Stephanie Emerson | 121 Jeffrey Rd, Springfield, MA 01119-2734 | Respiratory Care Practitioner | 2020-05-01 ~ 2021-04-30 |
| Stephanie D Crickmore | 14 Dover Rd, Manchester, CT 06040-2717 | Respiratory Care Practitioner | 2019-12-01 ~ 2020-11-30 |
| Stephanie A Iacona | 47 Matthew Dr, Stratford, CT 06614-3323 | Respiratory Care Practitioner | 2014-12-01 ~ 2015-11-30 |
| Stephanie V Francis | 17 Emerson St, Bloomfield, CT 06002-3211 | Respiratory Care Practitioner | 2016-07-01 ~ 2017-06-30 |
| Stephanie A Keith | 150 Lawrence Rd, Trumbull, CT 06611-4530 | Respiratory Care Practitioner | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on STEPHANIE D BASS.
| 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).