MICHAEL S JURGENSEN (Credential# 978991) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.
MICHAEL S JURGENSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.099009. The credential type is registered nurse. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 2281 Longcommon Rd, Portage, IN 46368-8000. The current status is inactive.
| Licensee Name | MICHAEL S JURGENSEN |
| Credential ID | 978991 |
| Credential Number | 10.099009 |
| Credential Type | Registered Nurse |
| Business Address |
2281 Longcommon Rd Portage IN 46368-8000 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-04-04 |
| Effective Date | 2011-10-01 |
| Expiration Date | 2012-09-30 |
| Refresh Date | 2014-07-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 978993 | 10.097470-TEMP | Registered Nurse - Temporary | 2010-12-16 | 2010-12-16 - 2011-04-15 | INACTIVE |
| Street Address | 2281 LONGCOMMON RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-8000 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy B Kratz | 2698 Bear Paw Dr, Portage, IN 46368 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Tammy G Meyer | 3696 Baldwin St, Portage, IN 46368 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Prp Enterprises LLC | 5901 Carlson Avenue, Portage, IN 46368 | Out of State Shipper Liquor | 2019-08-20 ~ 2020-08-19 |
| Sanofi-aventis Us LLC | 6465 Ameriplex Dr, Portage, IN 46368 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2006-07-01 ~ 2007-06-30 |
| Aventis Pharmaceuticals Products Inc | 6465 Ameriplex Drive, Portage, IN 46368 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2000-07-01 ~ 2001-06-30 |
| Melanie Brewery Company Inc · Melanie Brewery Company | 146 Shore Drive, Portage, IN 46368 | Out of State Shipper Beer | 2009-02-28 ~ 2010-02-27 |
| Aaron P Wasilewski | 2278 Walden Ln, Portage, IN 46368-2128 | Lottery Or Otb Service Provider Employee | 2016-01-01 ~ 2016-12-31 |
| Jeremy R Leggett | 6558 Portage Ave, Portage, IN 46368-2448 | Respiratory Care Practitioner | 2014-07-15 ~ 2015-06-30 |
| Sharon D Jenkins | 3179 Destiny St, Portage, IN 46368-4471 | Registered Nurse - Temporary | 2015-10-20 ~ 2016-02-16 |
| Amanda D Evett | 5551 Birch Ave, Portage, IN 46368-4717 | Registered Nurse - Temporary | 2015-05-26 ~ 2015-09-22 |
| Find all Licenses in zip 46368 | |||
| City | PORTAGE |
| Zip Code | 46368 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + PORTAGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arleen M Jurgensen | 3166 Rushing Waters Place, Las Vegas, NV 89135 | Registered Nurse | 2000-05-04 ~ 2001-06-30 |
| Kenneth J Jurgensen | 38 Mathewson Avenue, Enfield, CT 06082 | Hairdresser/cosmetician | 2012-10-01 ~ 2014-09-30 |
| Michael Larry Sulit | 4009 Michael Neill Dr, Austin, TX 78730-1504 | Registered Nurse - Temporary | 2020-05-07 ~ 2020-09-04 |
| Michael & Michael Enterprises Inc | 137 Private Road, Old Forge, NY 13420 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Michael P Guerin | P O Box 894, Millbrook, NY 12545 | Registered Nurse | 1981-01-01 ~ 1993-05-31 |
| Michael A Hansen | 523 2nd Ave, Johnsonburg, PA 15845-1116 | Registered Nurse | 2014-05-01 ~ 2015-04-30 |
| Michael P Prisinzano | 9 Sinawoy Rd, Cos Cob, CT 06807-2311 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Michael Gatwood | 140 S 1st Ave, Thatcher, AZ 85552-5481 | Registered Nurse | 2017-07-14 ~ 2018-04-30 |
| Michael G Tompkins | P.o. Box 423, Claverack, NY 12513 | Registered Nurse | 1999-10-12 ~ 2000-11-30 |
| Michael D Ray | Po Box 1017, Somers, CT 06071-4117 | Registered Nurse | 2013-03-15 ~ 2013-11-30 |
Please comment or provide details below to improve the information on MICHAEL S JURGENSEN.
| 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).