PHYLLIS K BARKER (Credential# 903447) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is November 10, 2009. The license expiration date date is March 10, 2010. The license status is INACTIVE.
PHYLLIS K BARKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.091349-TEMP. The credential type is registered nurse - temporary. The effective date is November 10, 2009. The expiration date is March 10, 2010. The business address is 17507 Santa Rosa Mine Rd, Perris, CA 92570-7760. The current status is inactive.
| Licensee Name | PHYLLIS K BARKER |
| Credential ID | 903447 |
| Credential Number | 10.091349-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
17507 Santa Rosa Mine Rd Perris CA 92570-7760 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2009-11-10 |
| Effective Date | 2009-11-10 |
| Expiration Date | 2010-03-10 |
| Refresh Date | 2010-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 903448 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 17507 SANTA ROSA MINE RD |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-7760 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan T Castro | 549 N D St Apt 29, Perris, CA 92570-1948 | Elevator Limited Conveyor Journeyperson | ~ |
| Edmund T Blackmore | 120 E 3rd St, Perris, CA 92570-2121 | Public Service Technician - Telephone | 2019-10-21 ~ 2020-09-30 |
| Devin C Strzok | 23255 Western Crest Dr, Perris, CA 92570-8187 | Engineer-in-training | ~ |
| Sams West Inc | 22722 Harley Knox Blvd, Perris, CA 92570-9557 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-06-09 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chantel Bree Smith | 1347 Yukon Ave, Perris, CA 92571-9404 | Respiratory Care Practitioner | ~ |
| Ray Anthony L Ong | 1544 Whiteoak Dr, Perris, CA 92571-7605 | Licensed Practical Nurse | ~ |
| City | PERRIS |
| Zip Code | 92570 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + PERRIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary B Lee | 709 Barker Road, Hixson, TN 37343 | Registered Nurse - Temporary | 2015-12-31 ~ 2016-04-28 |
| Lashonda Jenise Barker | 145 Bethel St, Barnwell, SC 29812-2243 | Registered Nurse - Temporary | 2017-03-07 ~ 2017-07-04 |
| Kelly L Barker | 1079 Messer Branch Rd, Hazard, KY 41701-6563 | Registered Nurse - Temporary | 2013-11-22 ~ 2014-03-21 |
| Jennifer Barker Cox | 158 Rainey Ridge Road, Roxboro, NC 27343 | Registered Nurse - Temporary | 2017-03-21 ~ 2017-07-18 |
| Phyllis J Hunter | 4 Westchester Dr, Kissimmee, FL 34744-5821 | Registered Nurse - Temporary | 2009-11-10 ~ 2010-03-10 |
| Phyllis A Mcevoy | 100 Hardscrabble Rd, Briarcliff Manor, NY 10510-1911 | Registered Nurse - Temporary | 2011-03-07 ~ 2011-07-05 |
| Phyllis J Sirek | 1251 Chamberlain Ct, The Villages, FL 32162-6432 | Registered Nurse - Temporary | 2009-11-12 ~ 2010-03-12 |
| Phyllis L Hundley | 5322 W 72nd Ter, Prairie Village, KS 66208-2423 | Registered Nurse - Temporary | 2009-09-17 ~ 2010-01-15 |
| Phyllis Marie Robinette | 15 Pheasant Hill Rd, Salem, CT 06420-3613 | Registered Nurse - Temporary | 2016-07-11 ~ 2016-11-07 |
| Duane Shawn Murphy | 148 Avery Murphy Rd, Phyllis, KY 41554-8810 | Registered Nurse - Temporary | 2019-08-05 ~ 2019-12-03 |
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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).