MICHELLE T BROCKMANN (Credential# 988375) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2016. The license status is INACTIVE.
MICHELLE T BROCKMANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.099860. The credential type is registered nurse. The effective date is July 1, 2015. The expiration date is June 30, 2016. The business address is 230 Barter Ave, Saint Louis, MO 63122-2605. The current status is inactive.
Licensee Name | MICHELLE T BROCKMANN |
Credential ID | 988375 |
Credential Number | 10.099860 |
Credential Type | Registered Nurse |
Business Address |
230 Barter Ave Saint Louis MO 63122-2605 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2011-06-01 |
Effective Date | 2015-07-01 |
Expiration Date | 2016-06-30 |
Refresh Date | 2016-10-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
988419 | 10.098644-TEMP | Registered Nurse - Temporary | 2011-03-10 | 2011-03-10 - 2011-07-08 | INACTIVE |
Street Address | 230 BARTER AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63122-2605 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gail M Metzler | 203 Gilbert Street, Kirkwood, MO 63122 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Kelly N Reed | 1132 Saint Croix Ct, Kirkwood, MO 63122 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Louis W Vandeloecht | 229 Greenbriar Estates, Kirkwood, MO 63122 | Architect | 2019-08-01 ~ 2020-07-31 |
David W Ohlemeyer | 25 Fredrick Ln, Glendale, MO 63122 | Architect | 2017-08-01 ~ 2018-07-31 |
Lutherna Church-missouri Synod | 1333 South Kirkwood Road, St. Louis, MO 63122 | Public Charity-exempt From Financial Requirements | ~ |
Clayton Engr | 123 Peeke Ave, Kirkwood, MO 63122 | Professional Engineer | 1989-05-08 ~ 1990-01-31 |
Robert E Lischer · Mallinckrodt Inc | 1054 Glenford Ct, Kirkwood, MO 63122 | Professional Engineer | 1989-02-03 ~ 1990-01-31 |
Belinda Mileur | 507 South Clay Avenue, Kirkwood, MO 63122 | Registered Nurse | 1988-02-01 ~ 1989-01-31 |
Brad Beggs | 29 Berry Road Park, Glendale, MN 63122 | Temporary Certified General Real Estate Appraiser | 2007-06-20 ~ 2007-12-20 |
Bausch & Lomb Surgical Inc · Steven D Mcmullin | 3365 Tree Ct Industrial Blvd, St Louis, MO 63122 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2002-07-01 ~ 2003-06-30 |
Find all Licenses in zip 63122 |
City | SAINT LOUIS |
Zip Code | 63122 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + SAINT LOUIS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shannon Korzeniowski · Brockmann | 42 Rim Rock Ct, Tiverton, RI 02878 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
Lois J Brockmann | 34 Pleasant Hill Rd, Newtown, CT 06470 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
Tamika Michelle Wooden | 12975 Michelle Dr, Frisco, TX 75035 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Michelle L Beltrano | CT | Registered Nurse | ~ |
Michelle L Myers | 11 Watson St, New Haven, CT 06511-1014 | Registered Nurse | ~ |
Amy Michelle Williams | 327 Thompson Rd., Webster, MA 01570 | Registered Nurse | ~ |
Michelle Crandall | P.o. Box 711, Wyoming, RI 02898 | Registered Nurse | 2007-06-20 ~ 2008-05-31 |
Gyo Gyoung Kim | 195 Michelle Ln #210, Groton, CT 06340 | Registered Nurse | 2008-03-10 ~ 2008-12-31 |
Michelle Kearns | 261 4th Ave, Stratford, CT 06615 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Michelle C Rothbard | Po Box 52, Clarksville, MO 63336 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
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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).