LISA ANNE SPANN (Credential# 921807) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2011. The license expiration date date is January 31, 2012. The license status is INACTIVE.
LISA ANNE SPANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.095396. The credential type is registered nurse. The effective date is February 1, 2011. The expiration date is January 31, 2012. The business address is 1041 Astor Ave Apt 1, Kingman, AZ 86409-3903. The current status is inactive.
Licensee Name | LISA ANNE SPANN |
Credential ID | 921807 |
Credential Number | 10.095396 |
Credential Type | Registered Nurse |
Business Address |
1041 Astor Ave Apt 1 Kingman AZ 86409-3903 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-07-30 |
Effective Date | 2011-02-01 |
Expiration Date | 2012-01-31 |
Refresh Date | 2012-05-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
921808 | 10.093173-TEMP | Registered Nurse - Temporary | 2010-03-29 | 2010-03-29 - 2010-07-27 | INACTIVE |
Street Address | 1041 ASTOR AVE APT 1 |
City | KINGMAN |
State | AZ |
Zip Code | 86409-3903 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephanie Smith | 3880 Stockton Hill Rd Ste 103-175, Kingman, AZ 86409 | Registered Nurse | 2019-03-19 ~ 2019-09-30 |
Linda J Butler | 3880 Stockton Hill Rd # 103-159, Kingman, AZ 86409-0595 | Registered Nurse | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael T Moore | Po Box 6056, Kingman, AZ 86402-6056 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Geoffrey Lane Schroder | 1732 Motor Ave, Kingman, AZ 86401 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
New Life Clinics | 5536 N. Copper Canyon Wy, Kingman, AZ 86401 | Public Charity | 2007-06-01 ~ 2008-05-31 |
Carol E Tarquinio | 600 Rawhide Dr, Kingman, AZ 86401-7285 | Physical Therapist | 2013-03-12 ~ 2014-02-28 |
Vincent N Miles Md | 7849 S Hawk Rd, Kingman, AZ 86401-4774 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Michael J Stagner | 390 Greenway Dr, Kingman, AZ 86401-3965 | Physician/surgeon | 2011-05-20 ~ 2012-03-31 |
Phyllis R Jordan | 1841 Davis Ave, Kingman, AZ 86401 | Licensed Practical Nurse | 1998-01-14 ~ 1999-02-28 |
Cristita E Nagsuban · Strera | 3350 Harrison Street, Kingman, AZ 86401 | Registered Nurse | 1996-09-26 ~ 1997-10-31 |
Jeanette R Eakerns | 960 Palo Verde Drive, Kingman, AZ 86104 | Registered Nurse | 2006-04-03 ~ 2007-03-31 |
Tasha R Inturrisi · Gibson | 2365 Northfield Avenue, Kingman, AZ 86401 | Licensed Practical Nurse | 2005-09-02 ~ 2006-08-31 |
Find all Licenses in KINGMAN |
City | KINGMAN |
Zip Code | 86409 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + KINGMAN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Spann Vineyards Inc · Spann Vineyards | 12900 Maple Glen Rd, Glen Ellen, CA 95442-9733 | Out of State Winery | 2019-09-10 ~ 2020-09-09 |
Lisa Anne Hughes | 65 Hill Street, Rye, NY 10580 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Lisa Anne Corsi | 28 Island Dr, Coventry, RI 02816-6813 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
Lisa Anne Smith | 1337 River Rd, Suffolk, VA 23434-2915 | Registered Nurse | 2020-02-20 ~ 2020-12-31 |
Lisa Anne Kondvar | 40 Cove Ave Unit 2, Warwick, RI 02889-8654 | Registered Nurse | 2017-12-15 ~ 2018-10-31 |
Lisa Anne Bardinelli | 131 Horse Fence Hill Road, Southbury, CT 06488 | Registered Nurse | 2016-08-15 ~ 2017-08-31 |
Annetta Spann | 68 Freemont St, Lexington, MA 02173 | Registered Nurse | 1997-07-15 ~ 1998-08-31 |
Mattie R Spann | 1138 Wintergreen Av, Hamden, CT 06514 | Registered Nurse | 2017-01-01 ~ 2017-12-31 |
Twayna L Spann | 5607 E Tigre Chene, Baker, LA 70714 | Registered Nurse | 2003-07-14 ~ 2004-07-31 |
Spann Vineyards Classic Four | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-09-08 ~ 2022-09-06 |
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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).