JORDAN M SMITH (Credential# 1149228) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.
JORDAN M SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.110241. The credential type is registered nurse. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 134 S Granite St, Prescott, AZ 86303-4710. The current status is inactive.
| Licensee Name | JORDAN M SMITH |
| Credential ID | 1149228 |
| Credential Number | 10.110241 |
| Credential Type | Registered Nurse |
| Business Address |
134 S Granite St Prescott AZ 86303-4710 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-02-22 |
| Effective Date | 2013-08-01 |
| Expiration Date | 2014-07-31 |
| Refresh Date | 2014-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1150254 | 10.110205-TEMP | Registered Nurse - Temporary | 2013-02-21 | 2013-02-21 - 2013-06-21 | INACTIVE |
| Street Address | 134 S GRANITE ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4710 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rex H Smyly | 134 S Granite St, Prescott, AZ 86303-4710 | Licensed Alcohol and Drug Counselor | 2013-11-01 ~ 2014-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John B Butt | 3125 Rainbow Ridge Drive, Prescott, AZ 86303 | Professional Engineer | 2000-02-09 ~ 2001-01-31 |
| Engage Agro Usa LLC | 118 E Carleton St Ste A, Prescott, AZ 86303-3967 | Commercial Fertilizer | 2013-07-01 ~ 2014-06-30 |
| Michele E Tryon | 453 Pioneer Dr, Prescott, AZ 86303-4109 | Hairdresser/cosmetician | 2018-07-01 ~ 2020-06-30 |
| Genevieve M Elliott | 1161 Deerfield Rd, Prescott, AZ 86303-5360 | Physical Therapist | 2015-08-01 ~ 2016-07-31 |
| Barbara L Goethe | 140 S Woodridge Way, Prescott, AZ 86303-5714 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlin Marie Gietzen | 2685 E Old Us Highway 89a Unit 7, Prescott, AZ 86301-8460 | Registered Nurse | 2020-04-13 ~ 2021-02-28 |
| Peter J Christesen | 4756 N Granite Gardens Dr, Prescott, AZ 86301-8477 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| William G Markham | 360 Cimarron Cir, Prescott, AZ 86301-1558 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Julia Lynne Cowing | 4636 Hornet Dr, Prescott, AZ 86301 | Registered Nurse | 2019-12-09 ~ 2020-07-31 |
| Clarisse Baluyot | 1628 Idylwild Rd, Prescott, AZ 86305-2216 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Superstition Meadery | 6678 Inter Cal Way, Prescott, AZ 86301-6151 | Out of State Winery | 2019-10-23 ~ 2020-10-22 |
| Benoit A Luyckx | 5179 Wellness Way, Prescott, AZ 86301 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Leanne Marie Sandmeyer | 1500 River Ter, Prescott, WI 54021-7046 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Deborah Charles | 722 Greenlawn, Prescott, AR 71857 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Edwin R Alegria | 1998 Prescott Lakes Pkwy Apt 144, Prescott, AZ 86301-7828 | Optician | 2016-07-01 ~ 2017-06-30 |
| Find all Licenses in PRESCOTT | |||
| City | PRESCOTT |
| Zip Code | 86303 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + PRESCOTT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon P Kelly | 11745 S Jordan Farms Rd, South Jordan, UT 84095-8798 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Matthew M Smith | 208 Jordan Rd, Franklin, MA 02038 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Carol D Jordan | 20 Smith Ave, Waterbury, CT 06708-1731 | Real Estate Salesperson | ~ |
| Jordan M Mccabe | 53 Smith St Apt 1, Putnam, CT 06260-1534 | Emergency Medical Responder | 2019-01-01 ~ 2021-12-31 |
| Jordan N Perzan | 72 Smith Ln, Burlington, CT 06013-1202 | Emergency Medical Technician | 2019-07-26 ~ 2022-06-30 |
| Jordan Acquisitions LLC · Jordan Realty Co | 1458 E Main St Rm 6, Bridgeport, CT 06608-1160 | Real Estate Broker | 2020-04-21 ~ 2021-03-31 |
| David Jordan · Jordan Construction Co | 929 White Plains Rd #271, Trumbull, CT 06611 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Eveleen M Smith · Smith | 241 Ridgewood Rd, East Hartford, CT 06118 | Registered Nurse | 2005-07-20 ~ 2006-08-31 |
| Mary Ellen Smith · Smith | 451 Whittier Ave, Westfield, NJ 07090 | Registered Nurse | 1998-05-27 ~ 1999-05-31 |
| Taneisha T Smith · Smith | 61 Central Ave Fl 2, East Hartford, CT 06108-3102 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on JORDAN M SMITH.
| 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).