SHANNON B JACKSON
Registered Nurse


Address: 6485 Snowden Dr, College Park, GA 30349-1494

SHANNON B JACKSON (Credential# 1135865) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2013. The license expiration date date is October 31, 2014. The license status is INACTIVE.

Business Overview

SHANNON B JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.109417. The credential type is registered nurse. The effective date is November 1, 2013. The expiration date is October 31, 2014. The business address is 6485 Snowden Dr, College Park, GA 30349-1494. The current status is inactive.

Basic Information

Licensee Name SHANNON B JACKSON
Credential ID 1135865
Credential Number 10.109417
Credential Type Registered Nurse
Business Address 6485 Snowden Dr
College Park
GA 30349-1494
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-12-18
Effective Date 2013-11-01
Expiration Date 2014-10-31
Refresh Date 2015-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1136205 10.109321-TEMP Registered Nurse - Temporary 2012-12-11 2012-12-11 - 2013-04-10 INACTIVE

Office Location

Street Address 6485 SNOWDEN DR
City COLLEGE PARK
State GA
Zip Code 30349-1494

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Andre M Tousignant 4694 Aviation Parkway Suite S, Atlanta, GA 30349 Heating, Piping & Cooling Limited Journeyperson 2017-09-01 ~ 2018-08-31
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Hazel D Manatsa 2330 Shancey Lane, College Park, GA 30349 Registered Nurse 2016-02-01 ~ 2017-01-31
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Competitor

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City COLLEGE PARK
Zip Code 30349
License Type Registered Nurse
License Type + County Registered Nurse + COLLEGE PARK

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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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