DIXIE LEA HAGEN (Credential# 1076767) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is June 12, 2012. The license expiration date date is October 10, 2012. The license status is INACTIVE.
DIXIE LEA HAGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.105936-TEMP. The credential type is registered nurse - temporary. The effective date is June 12, 2012. The expiration date is October 10, 2012. The business address is 12436 Whippoorwill Dr, De Soto, MO 63020-3339. The current status is inactive.
| Licensee Name | DIXIE LEA HAGEN |
| Credential ID | 1076767 |
| Credential Number | 10.105936-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
12436 Whippoorwill Dr De Soto MO 63020-3339 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2012-06-12 |
| Effective Date | 2012-06-12 |
| Expiration Date | 2012-10-10 |
| Refresh Date | 2012-10-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1074158 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 12436 WHIPPOORWILL DR |
| City | DE SOTO |
| State | MO |
| Zip Code | 63020-3339 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Marie Sargent | 4496 Mcgehan Rd., Desoto, MO 63020 | Registered Nurse | 2018-04-01 ~ 2019-03-31 |
| Bridget Marie Bartlett | 1145 Vineland School Rd, De Soto, MO 63020-2585 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Sandra Lynn Martin | 13808 Klondike Rd, De Soto, MO 63020-4048 | Registered Nurse | 2017-05-17 ~ 2017-10-31 |
| Stephanie L Boyer | 13601 Mount Olive Rd, De Soto, MO 63020-5032 | Registered Nurse | 2015-10-01 ~ 2016-10-31 |
| Audrey G Williams | 2605 Lee Pyle Rd, De Soto, MO 63020-5231 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen S Matthes | 8515 Peoria St, De Soto, KS 66018-8340 | Licensed Practical Nurse | ~ |
| Megan Lynne Deemer | 1013 Marshall St, De Soto, IA 50069-1053 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Dana S Hopkins | 818 Shadywood Lane, De Soto, TX 75115 | Registered Nurse | ~ |
| City | DE SOTO |
| Zip Code | 63020 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + DE SOTO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bridget E Hagen | 9 Wessex Drive, Westwood, MA 02090 | Registered Nurse - Temporary | 2020-03-05 ~ 2020-07-03 |
| Dixie Doodle Daycare | 1 Dixie Ln, Norwalk, CT 06850-2805 | Group Child Care Home | ~ |
| Hagen Remodeling LLC | 46 W Branchville Rd, Ridgefield, CT 06877-6222 | Home Improvement Contractor | 2020-01-19 ~ 2020-11-30 |
| Dixie Brewing Company Inc | 2537 Tulane Avenue, New Orleans, LA 70119 | Out of State Shipper Beer | ~ 1999-10-18 |
| Jennifer Stern-hagen Cnm | 114 Woodland St, Hartford, CT 06105-1719 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Eileen C Hagen | 12315 Ecksminster, San Antonio, TX 78216 | Registered Nurse | 2011-11-01 ~ 2012-10-31 |
| Rebecca L Hagen | 6550 E Nance Cir, Mesa, AZ 85215-1640 | Registered Nurse | 2017-09-01 ~ 2018-08-31 |
| Vikki M Rozier · Rakowski | 7322 Hagen Way, Naples, FL 34113 | Registered Nurse | 2008-03-17 ~ 2009-03-31 |
| Genevieve Morrison Tedder | 123 Hagen Road, Advance, NE 27006 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Nancy A Hagen Aprn | 34 Red Oak Hill Road, Willington, CT 06279 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
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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).