SHANTIE D MASURKA
Registered Nurse


Address: 17097 Encina Path, Farmington, MN 55024-7302

SHANTIE D MASURKA (Credential# 1178670) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2017. The license expiration date date is March 31, 2018. The license status is INACTIVE.

Business Overview

SHANTIE D MASURKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.117119. The credential type is registered nurse. The effective date is April 1, 2017. The expiration date is March 31, 2018. The business address is 17097 Encina Path, Farmington, MN 55024-7302. The current status is inactive.

Basic Information

Licensee Name SHANTIE D MASURKA
Credential ID 1178670
Credential Number 10.117119
Credential Type Registered Nurse
Business Address 17097 Encina Path
Farmington
MN 55024-7302
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-03-01
Effective Date 2017-04-01
Expiration Date 2018-03-31
Refresh Date 2018-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1199269 10.115610-TEMP Registered Nurse - Temporary 2013-12-18 2013-12-18 - 2014-04-16 INACTIVE

Office Location

Street Address 17097 ENCINA PATH
City FARMINGTON
State MN
Zip Code 55024-7302

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Sandra L Prouty · Wycoff 19246 Cattail Court, Farmington, MN 55024 Registered Nurse 2012-11-01 ~ 2013-10-31
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Nicole M Maras 624 Park Dr, Farmington, MN 55024-1626 Registered Nurse - Temporary 2014-03-04 ~ 2014-07-01
Wolfgang G Volker 19208 Everest Path, Farmington, MN 55024-7029 Registered Nurse 2015-11-16 ~ 2016-11-30
Rebekah L Silverthorn 18609 Duluth St, Farmington, MN 55024-7092 Registered Nurse ~
Brent D Kotula · Uponor 19126 Claremont Dr, Farmington, MN 55024-7160 Auto Fire Sprinkler Layout Technician 2020-02-01 ~ 2021-01-31
Marc Wolfson 19805 Deerbrooke Path, Farmington, MN 55024-7213 Registered Nurse 2014-09-01 ~ 2015-08-31
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City FARMINGTON
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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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