KEITH L MONTGOMERY (Credential# 903747) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is November 12, 2009. The license expiration date date is March 12, 2010. The license status is INACTIVE.
KEITH L MONTGOMERY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.091447-TEMP. The credential type is registered nurse - temporary. The effective date is November 12, 2009. The expiration date is March 12, 2010. The business address is 9780 Walnut Grove Trl, Villa Rica, GA 30180-4190. The current status is inactive.
| Licensee Name | KEITH L MONTGOMERY |
| Credential ID | 903747 |
| Credential Number | 10.091447-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
9780 Walnut Grove Trl Villa Rica GA 30180-4190 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2009-11-12 |
| Effective Date | 2009-11-12 |
| Expiration Date | 2010-03-12 |
| Refresh Date | 2010-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 905172 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 9780 WALNUT GROVE TRL |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-4190 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Flowers Bakery of Villa Rica LLC | 134 Doyle Mccain Dr, Villa Rica, GA 30180 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Debra D Furr | 1187 Ray Lee Rd., Villa Rica, GA 30180 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Monica E Garner | 9063 River Bend Court, Villa Rica, GA 30180 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Thomas W Guerra · Cile Decker Associates Inc | 10198 Tall Pine Court, Villa Rica, GA 30180 | Real Estate Salesperson | 1999-06-01 ~ 2000-05-31 |
| Robin Jenise Williams | 600 Meadows Court, Villa Rica, GA 30180 | Registered Nurse | 2016-08-09 ~ 2017-05-31 |
| Paul J Kucsera | 1165 Plantation Dr, Villa Rica, GA 30180 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
| Thomas S Proctor | 556 Leslie Drive, Villa Rica, GA 30180 | Physical Therapist | 2003-08-04 ~ 2004-08-31 |
| Mary K Harrison | 302 N Lassiter Ct, Villa Rica, GA 30180 | Registered Nurse | 1994-05-16 ~ 1995-04-30 |
| Diane M Cloutier | 3025 Catamaran Cove, Villa Rica, GA 30180 | Registered Nurse | 2003-05-19 ~ 2004-07-31 |
| Susan L Grizzard · Steeves | 9037 Woodlake Place, Villa Rica, GA 30180 | Radiographer | 2006-09-25 ~ 2007-11-30 |
| Find all Licenses in zip 30180 | |||
| City | VILLA RICA |
| Zip Code | 30180 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + VILLA RICA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elkin Arteaga | 511 E Moye Dr, Montgomery, AL 36109 | Registered Nurse - Temporary | 2015-08-04 ~ 2015-12-01 |
| Laila Jane Davidson | 147 Ward St, Montgomery, NY 12549-1112 | Registered Nurse - Temporary | 2018-12-26 ~ 2019-04-25 |
| Elizabeth A Pittman | 3526 Dalraida Pkwy, Montgomery, AL 36109-2218 | Registered Nurse - Temporary | 2011-10-06 ~ 2012-02-03 |
| Laura A Fulton | 1348 Regan Rd, Montgomery Center, VT 05471-3164 | Registered Nurse - Temporary | 2020-03-10 ~ 2020-07-08 |
| Kerri C Abernathy | 5201 Paddock Club Cir Apt M, Montgomery, AL 36116-4283 | Registered Nurse - Temporary | 2013-08-20 ~ 2013-12-17 |
| Clayton Najee Tuckett | 8721 Welbeck Way, Montgomery Village, MD 20886-4309 | Registered Nurse - Temporary | 2020-04-29 ~ 2020-08-27 |
| Michelle Rose Wade | 101 Pine Hill Lane, Montgomery, TX 77356 | Registered Nurse - Temporary | 2017-11-06 ~ 2018-03-05 |
| Sidney Joel Petersen | 9810 Hellingly Pl, Montgomery Village, MD 20886-0574 | Registered Nurse - Temporary | 2010-08-27 ~ 2010-12-25 |
| Jalena C Keith | 205 Manchester St, Boston, MA 02126-2825 | Registered Nurse - Temporary | 2013-03-11 ~ 2013-07-08 |
| Keith Filban | 48 Trumbull Ave, Stonington, CT 06378-1018 | Registered Nurse - Temporary | 2015-06-24 ~ 2015-10-21 |
Please comment or provide details below to improve the information on KEITH L MONTGOMERY.
| 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).