DAVID C MILLER (Credential# 1173965) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2013. The license expiration date date is November 6, 2013. The license status is INACTIVE.
DAVID C MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.112083-TEMP. The credential type is registered nurse - temporary. The effective date is July 10, 2013. The expiration date is November 6, 2013. The business address is 4912 Pikes Pond Rd, Lake Park, GA 31636-3262. The current status is inactive.
| Licensee Name | DAVID C MILLER |
| Credential ID | 1173965 |
| Credential Number | 10.112083-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
4912 Pikes Pond Rd Lake Park GA 31636-3262 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2013-07-10 |
| Effective Date | 2013-07-10 |
| Expiration Date | 2013-11-06 |
| Refresh Date | 2013-11-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1172713 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David C Miller | 177 Blackberry Hill Road, Beacon Falls, CT 06403 | Notary Public Appointment | 2008-01-01 ~ 2012-12-31 |
| David C Miller | 260 Hillside Ave Fl 2, Naugatuck, CT 06770-2737 | Emergency Medical Responder | 2011-09-21 ~ 2014-04-01 |
| David C Miller | 8 Taylor Rd, Bethel, CT 06801 | Limited Sheet Metal Journeyperson | 2002-01-01 ~ 2002-08-31 |
| Street Address | 4912 PIKES POND RD |
| City | LAKE PARK |
| State | GA |
| Zip Code | 31636-3262 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Fielding | 130 Fielding Rd, Lake Park, GA 31636 | Registered Nurse | 2009-01-16 ~ 2010-01-31 |
| Joan I Radway | 7553 Enoch Lake Circle, Lake Park, GA 31636 | Registered Nurse | 2007-12-10 ~ 2009-01-31 |
| Connie H Mcelvey | 5381 Moss Oak Trl, Lake Park, GA 31636-3333 | Registered Nurse - Temporary | 2013-12-12 ~ 2014-04-10 |
| Michelle M Foster | 2631 Howell Rd, Lake Park, GA 31636-4305 | Registered Nurse | 2012-08-13 ~ 2013-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cindy Elizabeth Santamaria | 908 Poplar Dr, Lake Park, FL 33403-2023 | Occupational Therapist Assistant | 2020-02-18 ~ 2021-07-31 |
| Zachary Thomas Boyd | 903 Lake Shore Dr. Apt 310, Lake Park, FL 33403 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Logo Pillow Company LLC · Tessuta | 1372 N Killian Dr Unit E, Lake Park, FL 33403 | Manufacturer of Bedding & Upholstered Furniture | 2006-05-01 ~ 2007-04-30 |
| Daniel Capozzi · Robert R Gleason | 1120 Lakeshore Dr #102, Lake Park, FL 33403 | Real Estate Salesperson | 2000-06-01 ~ 2001-05-31 |
| Sara L Haestad | 990 Old Dixie Hwy, Lake Park, FL 33403-2325 | Emergency Medical Technician | 2013-07-18 ~ 2016-04-01 |
| Jessie L Haestad | 990 Old Dixie Hwy Ste 8, Lake Park, FL 33403-2325 | Emergency Medical Technician | 2013-07-19 ~ 2016-04-01 |
| Legacy Imports Inc | 9498 Alternate Aia, Lake Park, FL 33403 | Out of State Shipper Liquor | 2009-01-24 ~ 2010-01-22 |
| Play Ball Usa Inc. | P.o. Box 530552, Lake Park, FL 33403 | Public Charity | 2006-11-30 ~ 2007-05-31 |
| Carol M Mulligan | 722 W Kalmia Dr, Lake Park, FL 33403 | Registered Nurse | 1994-01-03 ~ 1994-12-31 |
| Gertrude L Gooden | 136 E Jasmine Dr, Lake Park, FL 33403 | Registered Nurse | 2005-04-18 ~ 2006-01-31 |
| Find all Licenses in LAKE PARK | |||
| City | LAKE PARK |
| Zip Code | 31636 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + LAKE PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Flood | 805 S Miller Cir, Mesa, AZ 85204-4225 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| Theressa N Miller | 5099 5th Ave, Youngstown, OH 44505-1212 | Registered Nurse - Temporary | 2015-11-18 ~ 2016-03-16 |
| Susanne N Miller | 110 Trailside Way, Hiram, GA 30141-3271 | Registered Nurse - Temporary | 2014-04-17 ~ 2014-08-14 |
| Rebecca L Miller | 6 Hamilton Dr, Red Hook, NY 12571-1607 | Registered Nurse - Temporary | 2013-05-06 ~ 2013-09-02 |
| Jenell A Miller | 291 Williams Rd, Fayette City, PA 15438-1143 | Registered Nurse - Temporary | 2011-04-01 ~ 2011-07-30 |
| Susie Jane Miller | 3308 Fm 992 N, De Kalb, TX 75559-6139 | Registered Nurse - Temporary | 2019-09-24 ~ 2020-01-22 |
| Trilby Lundberg Miller | 29 Lawton St, Lenoxdale, MA 01242 | Registered Nurse - Temporary | 2017-11-01 ~ 2018-02-28 |
| Daisy V Miller | 25 Mackellar Court, Peekskill, NY 10566 | Registered Nurse - Temporary | 2015-06-01 ~ 2015-09-28 |
| Delesia Miller | 6415 Riverbend Dr, Dayton, OH 45415-2675 | Registered Nurse - Temporary | 2011-11-30 ~ 2012-03-29 |
| Elizabeth Mcpherson Miller | 315 Borbeck Ave, Philadelphia, PA 19111-2206 | Registered Nurse - Temporary | 2009-08-06 ~ 2009-12-04 |
Please comment or provide details below to improve the information on DAVID C MILLER.
| 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).