PENNIE CONNIE BLAIR
Registered Nurse - Temporary


Address: 16310 Cypress Mulch Cir Apt 2311, Tampa, FL 33624-1250

PENNIE CONNIE BLAIR (Credential# 1085266) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is July 23, 2012. The license expiration date date is November 20, 2012. The license status is INACTIVE.

Business Overview

PENNIE CONNIE BLAIR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.107130-TEMP. The credential type is registered nurse - temporary. The effective date is July 23, 2012. The expiration date is November 20, 2012. The business address is 16310 Cypress Mulch Cir Apt 2311, Tampa, FL 33624-1250. The current status is inactive.

Basic Information

Licensee Name PENNIE CONNIE BLAIR
Credential ID 1085266
Credential Number 10.107130-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 16310 Cypress Mulch Cir Apt 2311
Tampa
FL 33624-1250
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2012-07-23
Effective Date 2012-07-23
Expiration Date 2012-11-20
Refresh Date 2012-11-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1085261 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 16310 CYPRESS MULCH CIR APT 2311
City TAMPA
State FL
Zip Code 33624-1250

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Carlene Evalry Roberts 16011 Dawnview Drive, Tampa, FL 33624 Registered Nurse - Temporary 2017-03-28 ~ 2017-07-25
Kevn M Mcnamara 14509 Thornfield Court, Tampa, FL 33624 Pharmacist 2014-02-01 ~ 2016-01-31
Thomas M Kochansky · Gte Data Services Inc 4803 Hayride Ct, Tampa, FL 33624 Professional Engineer 1988-01-27 ~ 1989-01-31
James C Harrison 14120 Cypress Run, Tampa, FL 33624 Professional Engineer 1991-01-07 ~ 1992-01-31
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City TAMPA
Zip Code 33624
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + TAMPA

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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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