NAOMI B WALLACE (Credential# 764784) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is November 13, 1995. The license expiration date date is January 31, 1997. The license status is INACTIVE.
NAOMI B WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.000136. The credential type is nursing home administrator. The effective date is November 13, 1995. The expiration date is January 31, 1997. The business address is 2811 Somerset Dr, Lauderdale Lakes, FL 33311. The current status is inactive.
| Licensee Name | NAOMI B WALLACE |
| Credential ID | 764784 |
| Credential Number | 36.000136 |
| Credential Type | Nursing Home Administrator |
| Business Address |
2811 Somerset Dr Lauderdale Lakes FL 33311 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1901-01-01 |
| Effective Date | 1995-11-13 |
| Expiration Date | 1997-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 2811 SOMERSET DR |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33311 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sherrita Elaine Perry | 2404 Nw 39th Way, Lauderdale Lakes, FL 33311 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Yselande Fleurena | 2731 Nw 9th Place, Fortlauderdale, FL 33311 | Registered Nurse | ~ |
| Michael Hauptmann | 1150 Nw 30th Ct Apt103, Wilton Manors, FL 33311 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Gerald P Ventre | 2801 Nw 9th Lane, Wilton Manors, FL 33311 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Desmore Neil Brown | 3301 Nw 29 Ct, Lauderdale Lakes, FL 33311 | Radiographer | ~ |
| Anthony Lorenz | 1049 Nw 30th Court, Wilton Manors, FL 33311 | Notary Public Appointment | 2011-12-23 ~ 2016-12-31 |
| Fengli Zhou | 2121 W Oakland Park Blvd, Oakland Park, FL 33311 | Massage Therapist | 2020-01-01 ~ 2021-12-31 |
| Kisha Prival | 2337 Nw 37th Terrace, Lauderdale Lakes, FL 33311 | Registered Nurse - Temporary | 2019-02-22 ~ 2019-06-22 |
| George S Thomas | 640 Tennis Club Dr Unit M310, Fort Lauderdale, FL 33311 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Child Crisis Network | 800 W. Oakland Park Blvd., Suite 211, Ft. Lauderdale, FL 33311 | Public Charity | 2005-10-01 ~ 2006-05-31 |
| Find all Licenses in zip 33311 | |||
| City | LAUDERDALE LAKES |
| Zip Code | 33311 |
| License Type | Nursing Home Administrator |
| License Type + County | Nursing Home Administrator + LAUDERDALE LAKES |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard B Wallace | 70 Duel Dr, Hamden, CT 06518 | Nursing Home Administrator | 1998-07-16 ~ 1999-09-30 |
| Eugene Burger | 2436 Wallace Avenue, Bronx, NY 10467 | Nursing Home Administrator | 1996-10-18 ~ 1997-08-31 |
| Michael E Bell | CT | Nursing Home Administrator | ~ |
| Patrick W Lyons | CT | Nursing Home Administrator | ~ |
| Dov Moskowitz | 976 South End, Woodmere, NY 11598 | Nursing Home Administrator | ~ |
| Arunava De | 350 Cobbler Ln, Southbury, CT 06488-4641 | Nursing Home Administrator | ~ |
| Gabriel N Tanwani | Po Box 631, Randallstown, MD 21133-0631 | Nursing Home Administrator | ~ |
| Richard F Ide | P.o. Box 73, Ashford, CT 06278 | Nursing Home Administrator | 2004-06-07 ~ 2006-04-30 |
| Katie M Lee | 11 Englewood Dr, Manchester, CT 06042-2738 | Nursing Home Administrator | ~ |
| Kimberly D Brown | Apt 303, Groton, CT 06340 | Nursing Home Administrator | ~ |
Please comment or provide details below to improve the information on NAOMI B WALLACE.
| 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).