JENTRY E TILLMAN (Credential# 1152201) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.
JENTRY E TILLMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.008262. The credential type is licensed clinical social worker. The effective date is May 1, 2015. The expiration date is April 30, 2016. The business address is 3705 Sevier Dr, North Little Rock, AR 72116-8588. The current status is inactive.
| Licensee Name | JENTRY E TILLMAN |
| Credential ID | 1152201 |
| Credential Number | 58.008262 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
3705 Sevier Dr North Little Rock AR 72116-8588 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-04-02 |
| Effective Date | 2015-05-01 |
| Expiration Date | 2016-04-30 |
| Refresh Date | 2016-08-05 |
| Street Address | 3705 SEVIER DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-8588 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henri J Roca IIi | 7204 Sequoyah Lane, North Little Rock, AR 72116 | Controlled Substance Registration for Practitioner | 2019-11-12 ~ 2021-02-28 |
| Glee Noel Branstetter | 1700 E 31st, North Little Rock, AR 72116 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Marcus D Cathey | 5713 Greenhurst Dr, N Little Rock, AR 72116 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| Teresa D Baker | 2401 Lakeview Rd H-4, North Little Rock, AR 72116 | Occupational Therapist | ~ 1997-07-31 |
| Lillian A Williams | 7912 Beechfield Drive, North Little Rock, AR 72116 | Registered Nurse | 2006-06-19 ~ 2007-05-31 |
| Jerry E Currence | 4500 Burrow Dr, North Little Rock, AR 72116-7039 | Architect | 2015-08-01 ~ 2016-07-31 |
| Roy A Brown | 4617 Lakeview Rd, North Little Rock, AR 72116-7375 | Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Mahmood Ahmad | 3117 Overbrook Cir, North Little Rock, AR 72116-7651 | Physician/surgeon | 1997-01-10 ~ 1998-07-31 |
| Vanessa Nelle Brewer | 4129 Glenmere Rd, North Little Rock, AR 72116-8325 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darlene Rae Cameron | 4004 Glenmere Rd, North Little Rock, AR 72116-8326 | Registered Nurse | 2018-10-02 ~ 2019-10-31 |
| Find all Licenses in zip 72116 | |||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + NORTH LITTLE ROCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Lina Michaelov | 91 Tillman St, Staten Island, NY 10314-5646 | Master's Level Social Worker | 2019-09-01 ~ 2020-08-31 |
| Jennifer Coburn-tillman | 118 Maple Street Apt #2, New Haven, CT 06511 | Master's Level Social Worker | 2019-09-01 ~ 2020-08-31 |
| Guy Tillman · Tillman's Carpentry | 1765 Stratford Ave, Bridgeport, CT 06607 | Home Improvement Contractor | 2006-02-10 ~ 2006-11-30 |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Ann S Matthews | Po Box 1362, Millbrook, NY 12545 | Licensed Clinical Social Worker | ~ |
| Huuthanh Le | 114 Oxford St, Bridgeport, CT 06606-1939 | Licensed Clinical Social Worker | ~ |
| Steven Jean Paul | CT | Licensed Clinical Social Worker | ~ |
| Amy C Sheppard | 257 Lester Rd, Griswold, CT 06351-1421 | Licensed Clinical Social Worker | ~ |
| Eva M Hill | # G4, Washington, DC 20008 | Licensed Clinical Social Worker | 2009-12-01 ~ 2010-11-30 |
Please comment or provide details below to improve the information on JENTRY E TILLMAN.
| 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).