KELLY A JACKSON (Credential# 1154943) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 12, 2013. The license expiration date date is October 31, 2013. The license status is INACTIVE.
KELLY A JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.110909. The credential type is registered nurse. The effective date is April 12, 2013. The expiration date is October 31, 2013. The business address is 2717 Nw 173rd Ter, Edmond, OK 73012-6703. The current status is inactive.
| Licensee Name | KELLY A JACKSON |
| Credential ID | 1154943 |
| Credential Number | 10.110909 |
| Credential Type | Registered Nurse |
| Business Address |
2717 Nw 173rd Ter Edmond OK 73012-6703 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-04-12 |
| Effective Date | 2013-04-12 |
| Expiration Date | 2013-10-31 |
| Refresh Date | 2014-07-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1155147 | 10.110665-TEMP | Registered Nurse - Temporary | 2013-03-21 | 2013-03-21 - 2013-07-18 | INACTIVE |
| Street Address | 2717 NW 173RD TER |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-6703 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa A Lynch | 2233 Bretton Lane, Edmond, OK 73012 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Paul M Fortunato | 604 Nw 197th Street, Edmond, OK 73012 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Mary Davenport | 18400 El Greco Drive, Edmond, OK 73012 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Lisa Ann Rankin | 18521 Las Meninas Dr, Edmond, OK 73012 | Registered Nurse - Temporary | 2014-11-12 ~ 2015-03-11 |
| Gregory Allen Burnett | 3032 Nw 201st St, Edmond, OK 73012-0636 | Registered Nurse | 2020-04-03 ~ 2020-09-30 |
| Annette S Ciesinski | 2213 Nw 199th St, Edmond, OK 73012-5205 | Paramedic | 2015-10-01 ~ 2016-09-30 |
| Kelsey Gilmore | 524 Nw 170th St, Edmond, OK 73012-6706 | Registered Nurse | 2017-04-06 ~ 2018-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rewel Kariuki | 2600 Cordgrass Ln, Edmond, OK 73013-1795 | Registered Nurse - Temporary | 2020-06-27 ~ 2020-10-25 |
| Christy Greenly | 15200 Daybright Dr, Edmond, OK 73013-9630 | Registered Nurse | ~ |
| Ben A Baggett | 516 Harding Pl, Edmond, OK 73013-5464 | Asbestos Consultant-insp/mgmt Planner | 2019-01-01 ~ 2019-12-31 |
| Betty J Haywood Md | 705 Nw 144th St, Edmond, OK 73013 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jane K Fitch | 7351 Bayliner Launch, Edmond, OK 73013-8727 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Darr & Collins LLC | 1425 Nw 150th St, Edmond, OK 73013-1305 | Professional Engineering Corporation | 2018-04-24 ~ 2019-04-24 |
| Khushbu Manish Patel | 157 Stonebridge Blvd Apt 328, Edmond, OK 73013-4650 | Physical Therapist | ~ |
| Sandra Sabbioni | 777 East 15th Street #250, Edmond, OK 73013 | Licensed Clinical Social Worker | 2018-12-01 ~ 2019-11-30 |
| Leo Lu | 15212 Worthington Ln, Edmond, OK 73013-1122 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Syam Sundar Mannava | 15313 Kestral Lake Dr, Edmond, OK 73013-9693 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in EDMOND | |||
| City | EDMOND |
| Zip Code | 73012 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + EDMOND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly M Haeckel | 63 Jackson Rd, Higganum, CT 06441-4424 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kelly C Goode | 68 Jackson Dr, Trumbull, CT 06611-1424 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kelly J Whitmore · Kelly's Seamless Gutters | 124 Jackson Rd, Plainfield, CT 06374 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| Heather E Jackson | 272 Jackson Road, Hopewell Junction, NY 12533 | Registered Nurse | 2008-09-18 ~ 2009-11-30 |
| Rachel Alexa Jackson | 272 Jackson Rd, Hopewell Junction, NY 12533-8603 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Ladonna J Jackson · Jackson | 81 Briarwood Rd, Waltham, MA 02452-8137 | Registered Nurse | 2019-09-09 ~ 2020-09-30 |
| Anne D Fleishell-kelly · Kelly | 68 Musket Ridge Rd, Wilton, CT 06897 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Maura E Kelly-sullivan · Kelly | 7698 Alta Cuesta, Cucamonga, CA 91730 | Registered Nurse | 1994-07-27 ~ 1995-07-31 |
| Barbara A Kelly-gibbs · Kelly | 2450 Cherry Blossom, Suffolk, VA 23434 | Registered Nurse | 2007-02-12 ~ 2008-03-31 |
| Kelly M Gostebski | 9 Jackson St, New Britain, CT 06053-3010 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Please comment or provide details below to improve the information on KELLY A JACKSON.
| 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).