THERA H FUNDERBURK (Credential# 1047392) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is January 6, 2012. The license expiration date date is May 5, 2012. The license status is INACTIVE.
THERA H FUNDERBURK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.103784-TEMP. The credential type is registered nurse - temporary. The effective date is January 6, 2012. The expiration date is May 5, 2012. The business address is 37635 Walker Rd N, Walker, LA 70785-2515. The current status is inactive.
| Licensee Name | THERA H FUNDERBURK |
| Credential ID | 1047392 |
| Credential Number | 10.103784-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
37635 Walker Rd N Walker LA 70785-2515 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2012-01-06 |
| Effective Date | 2012-01-06 |
| Expiration Date | 2012-05-05 |
| Refresh Date | 2012-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1046847 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 37635 WALKER RD N |
| City | WALKER |
| State | LA |
| Zip Code | 70785-2515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmen R Landry | Po Box 1377, Walker, LA 70785-1377 | Registered Nurse | 2014-05-01 ~ 2015-04-30 |
| Julie M Collins | 30251 Milton Rd, Walker, LA 70785-5716 | Registered Nurse - Temporary | 2013-12-07 ~ 2014-04-05 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Great Lakes Bottled Water Company | 2710 Northridge Dr Nw, Walker, MI 49544-9112 | Non-alcoholic Beverage & Water Bottlers | 2012-11-30 ~ 2013-06-30 |
| Eugene Nugent | Box 42 Rt 2, Walker, WV 26180 | Plumbing & Piping Unlimited Journeyperson | ~ |
| City | WALKER |
| Zip Code | 70785 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + WALKER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aundra Funderburk | 381 Lexington Rd Apt 6, Elloree, SC 29047-9389 | Registered Nurse - Temporary | 2019-07-25 ~ 2019-11-22 |
| Thera-lab Inc | 55 Carnegie Plaza, Cherry Hill, NJ 08003 | Wholesaler of Drugs, Cosmetics & Medical Devices | 1998-07-23 ~ 1999-06-30 |
| Thera Kinetics Inc | 1300 Route 73, Mt Laurel, NJ 08054 | Wholesaler of Drugs, Cosmetics & Medical Devices | 1996-07-01 ~ 1997-06-30 |
| Thera-kids | 22 East Street, Bethlehem, CT 06751 | Child Care Center | 2004-01-02 ~ |
| Fallon A Funderburk | 725 Cozy Point Road, Zwolle, LA 71486 | Registered Nurse | 2007-04-09 ~ 2008-04-30 |
| Shirley Funderburk | 5950 Rosecroft Pl, Hughesville, MD 20637 | Licensed Practical Nurse | 2008-02-25 ~ 2009-03-31 |
| Ellen Funderburk | 153 Campbell Avenue, West Haven, CT 06516 | Licensed Practical Nurse | 2006-08-18 ~ 2007-09-30 |
| Thera A Bowen | 9 Oak Hill Lane, Woodbridge, CT 06525 | Optometrist | 2020-08-01 ~ 2021-07-31 |
| Thera J Gagnon | 18 Park St Fl 2, Bristol, CT 06010-6025 | Respiratory Care Practitioner | 2019-11-01 ~ 2020-10-31 |
| Marlysa B Funderburk | 701 Highland Avenue, Atlanta, GA 30312 | Physical Therapist | 2006-11-24 ~ 2007-12-31 |
Please comment or provide details below to improve the information on THERA H FUNDERBURK.
| 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).