SHASTA D WASHINGTON
Registered Nurse


Address: 424 Chambers Creek Dr S, Fort Worth, TX 76140-4615

SHASTA D WASHINGTON (Credential# 1155830) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 8, 2013. The license expiration date date is April 30, 2014. The license status is INACTIVE.

Business Overview

SHASTA D WASHINGTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.110810. The credential type is registered nurse. The effective date is April 8, 2013. The expiration date is April 30, 2014. The business address is 424 Chambers Creek Dr S, Fort Worth, TX 76140-4615. The current status is inactive.

Basic Information

Licensee Name SHASTA D WASHINGTON
Credential ID 1155830
Credential Number 10.110810
Credential Type Registered Nurse
Business Address 424 Chambers Creek Dr S
Fort Worth
TX 76140-4615
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-04-08
Effective Date 2013-04-08
Expiration Date 2014-04-30
Refresh Date 2014-08-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1156782 10.110752-TEMP Registered Nurse - Temporary 2013-04-02 2013-04-02 - 2013-07-30 INACTIVE

Office Location

Street Address 424 CHAMBERS CREEK DR S
City FORT WORTH
State TX
Zip Code 76140-4615

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michele Latrese Roebuck 1017 Trinidad Dr, Fort Worth, TX 76140 Registered Nurse 2019-03-01 ~ 2020-03-31
Claudia V Ruiz 7426 Caladium Ln, Fort Worth, TX 76140-7003 Registered Nurse 2020-05-01 ~ 2021-04-30
Joqulin L Mccray 10013 Silent Hollow Dr, Fort Worth, TX 76140-7543 Registered Nurse 2020-05-26 ~ 2020-11-30

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Oha Tactical Investment Fund, L.p. 201 Main St, Suite 1250, Fort Worth, TX 76102 Securities - Exemptions 2020-06-12 ~
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Mahabbat Alieva 5424 Glen Canyon Rd, Fort Worth, TX 76137-4351 Hairdresser/cosmetician ~ 2019-07-31
Smith & Nephew Inc 5600 Clearfork Main St Ste 600, Fort Worth, TX 76109-3567 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Lenora Evasta Johnson 8033 Black Sumac Drive, Fort Worth, TX 76131 Registered Nurse - Temporary 2020-06-22 ~ 2020-10-20
Brittney Janelle Platon 3016 Crockett St, Fort Worth, TX 76107 Registered Nurse ~
Landmark Structures I L P 1665 Harmon Rd, Fort Worth, TX 76177-6522 Major Contractor 2020-07-01 ~ 2021-06-30
Breanna Ellison 2317 Sadlers Creek Ln, Fort Worth, TX 76108-2089 Respiratory Care Practitioner 2020-06-05 ~ 2021-04-30
Rise Fund II, L.p. 301 Commerce St, Ste 3300, Fort Worth, TX 76102 Securities - Exemptions 2020-04-10 ~
A-class Park Place Pharmacy 1001 12th Avenue Ste 156, Fort Worth, TX 76104 Nonresident Pharmacy ~
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Competitor

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City FORT WORTH
Zip Code 76140
License Type Registered Nurse
License Type + County Registered Nurse + FORT WORTH

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Susan A Honeywell 42 Shasta Dr, Londonderry, NH 03053-3007 Registered Nurse 2009-08-13 ~ 2010-10-31
Hannah M Prahl 4070 Shasta Cir, Clover, SC 29710-6911 Registered Nurse 2012-02-01 ~ 2013-02-28
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Anne Fisco 5535 Shasta Daisy Pl, Land O Lakes, FL 34639-2768 Registered Nurse 2020-04-01 ~ 2021-03-31
Angela S Fravel 7544 Shasta Dr, Indianapolis, IN 46217-7119 Registered Nurse - Temporary 2010-05-06 ~ 2010-09-03
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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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