VALENCIA J HENRY (Credential# 1149922) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
VALENCIA J HENRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.005324. The credential type is advanced practice registered nurse. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 147 Village Center Blvd, Myrtle Beach, SC 29579. The current status is active.
| Licensee Name | VALENCIA J HENRY |
| Credential ID | 1149922 |
| Credential Number | 12.005324 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
147 Village Center Blvd Myrtle Beach SC 29579 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-04-03 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 628431 | 10.E59533 | Registered Nurse | 1997-06-20 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1157843 | CSP.0054507 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-04-11 | 2018-01-09 - 2019-02-28 | LAPSED |
| Street Address | 147 Village Center Blvd |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriela Boshra Ghattas | 3931 Williamson Cir, Myrtle Beach, SC 29579 | Registered Nurse | ~ |
| Katherine L Petkis | 3274 Volterra Way, Myrtle Beach, SC 29579 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Barbara R Delldonna | 233 Encore Circle, Myrtle Beach, SC 29579 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Kim A Embree | 4291 Pond Shoals Ct Unit #101, Myrtle Beach, SC 29579 | Radiographer | 2020-05-01 ~ 2021-04-30 |
| New Horizons Realty Inc | 587 Oxbow Dr, Myrtle Beach, SC 29579 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Audra C Feirstein | 1214 Fiddlehead Way, Myrtle Beach, SC 29579 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Allison M Degennaro | 501 White River Drive Unit 26d, Myrtle Beach, SC 29579 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Rochelle Marie Lind | 798 Carolina Farms Blvd., Myrtle Beach, SC 29579 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Maja Sljivic | 9034 Gatewick Ct, Myrtle Beach, SC 29579 | Registered Nurse | 2019-05-13 ~ 2019-08-31 |
| Victoria A Duffy | 4378 Heartwood Lane, Myrtle Beach, SC 29579 | Notary Public Appointment | 2009-03-01 ~ 2014-02-28 |
| Find all Licenses in zip 29579 | |||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + MYRTLE BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffry M Holweger | 4128 Fort Henry Dr # D-226, Kingsport, TN 37663-2260 | Advanced Practice Registered Nurse | ~ |
| Corrie L Henry Aprn | 254 Georgetown Dr, Glastonbury, CT 06033-2344 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jeri L Holweger | 4128 Fort Henry Dr # D276, Kingsport, TN 37663-2260 | Advanced Practice Registered Nurse | ~ |
| Kirstin A Jensen | 2208 Henry Road, Sewickley, PA 15143-9330 | Advanced Practice Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Christine R Gavin | 468 Mars Valencia Road, Valencia, PA 16059 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| John F Gavin | 468 Mars Valencia Rd, Valencia, PA 16059 | Registered Nurse | 2009-06-22 ~ 2010-06-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wanda Pothier | 78 Lee Cir, Pascoag, RI 02859-1313 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Ann K Murtaugh | 68 Wardwell Dr, New Canaan, CT 06840 | Advanced Practice Registered Nurse | 1998-01-06 ~ 1999-02-28 |
| Maryann B Roik | Po Box 157, Holmdel, NJ 07733-0157 | Advanced Practice Registered Nurse | 2018-06-01 ~ 2019-05-31 |
Please comment or provide details below to improve the information on VALENCIA J HENRY.
| 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).