NELSON J P PETTEY
Advanced Practice Registered Nurse


Address: 12439 W Engelmann Dr, Boise, ID 83713-1419

NELSON J P PETTEY (Credential# 1046299) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.

Business Overview

NELSON J P PETTEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.004909. The credential type is advanced practice registered nurse. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 12439 W Engelmann Dr, Boise, ID 83713-1419. The current status is inactive.

Basic Information

Licensee Name NELSON J P PETTEY
Credential ID 1046299
Credential Number 12.004909
Credential Type Advanced Practice Registered Nurse
Business Address 12439 W Engelmann Dr
Boise
ID 83713-1419
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-01-03
Effective Date 2012-05-01
Expiration Date 2013-04-30
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
893599 10.090629 Registered Nurse 2009-09-02 2012-05-01 - 2013-04-30 INACTIVE
1058486 CSP.0052187 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-04-05 2012-04-05 - 2013-02-28 INACTIVE
893600 10.090527-TEMP Registered Nurse - Temporary 2009-06-26 2009-06-26 - 2009-10-24 INACTIVE

Office Location

Street Address 12439 W ENGELMANN DR
City BOISE
State ID
Zip Code 83713-1419

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pinnacle Engineers Inc 12552 W Exec Dr Suite #b, Boise, ID 83713 Professional Engineering Corporation 2005-01-18 ~ 2006-01-18
Patrick D Van Kleek 12552 W Executive Dr Ste B, Boise, ID 83713 Professional Engineer 2005-02-01 ~ 2006-01-31
Corey M Elliot 10749 West Susan, Boise, ID 83713 Registered Nurse 2000-04-13 ~ 2001-02-28
Betty M Weatherby · Lawrence 3730 Covered Wagon, Boise, ID 83713 Registered Nurse ~ 1997-01-31
Rachel Bowman 12325 Ramblin Rose Drive, Boise, ID 83713 Licensed Practical Nurse 2004-01-29 ~ 2005-03-31
Joseph S Gabrielsen 5401 N. Hickory Glen Place, Boise, ID 83713 Emergency Medical Technician 2003-03-25 ~ 2005-04-01
Jennifer M Ripley 5712 N Wellspring Way, Boise, ID 83713-1304 Registered Nurse 2014-03-05 ~ 2015-03-31
Richard Radnovich 4850 N Rosepoint Way Ste 100, Boise, ID 83713-5262 Physician/surgeon ~
Brent M Kallam 12500 W Ardyce Dr, Boise, ID 83713-5818 Paramedic 2010-09-15 ~ 2011-02-28
Nutri-vet 549 N Dupont Ave, Boise, ID 83713-5906 Commercial Feed 2017-01-01 ~ 2017-12-31
Find all Licenses in zip 83713

Competitor

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City BOISE
Zip Code 83713
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + BOISE

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Dataset Information

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).

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