SHELLY A WALLIS (Credential# 1178712) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is August 7, 2013. The license expiration date date is December 4, 2013. The license status is INACTIVE.
SHELLY A WALLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.112862-TEMP. The credential type is registered nurse - temporary. The effective date is August 7, 2013. The expiration date is December 4, 2013. The business address is 544 Lone Rock Dr, Norfork, AR 72658-8918. The current status is inactive.
| Licensee Name | SHELLY A WALLIS |
| Credential ID | 1178712 |
| Credential Number | 10.112862-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
544 Lone Rock Dr Norfork AR 72658-8918 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2013-08-07 |
| Effective Date | 2013-08-07 |
| Expiration Date | 2013-12-04 |
| Refresh Date | 2013-12-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1178465 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 544 LONE ROCK DR |
| City | NORFORK |
| State | AR |
| Zip Code | 72658-8918 |
| City | NORFORK |
| Zip Code | 72658 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + NORFORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shelly Lynn Campfield | 615 W 27th St S Apt 202, Wichita, KS 67217-3041 | Registered Nurse - Temporary | 2019-10-28 ~ 2020-02-25 |
| Shelly K May | 315 S Jefferson Davis Pkwy, New Orleans, LA 70119-6231 | Registered Nurse - Temporary | 2013-12-30 ~ 2014-04-28 |
| Shelly Ann Mccalla | 1412 Arnow Ave, Bronx, NY 10469-5515 | Registered Nurse - Temporary | 2012-02-17 ~ 2012-06-16 |
| Shelly M Walter | 1915 Valley Brook Dr, Alpharetta, GA 30005-8308 | Registered Nurse - Temporary | 2010-10-26 ~ 2011-02-23 |
| Shelly Marie Lopez-gray | 1622 Squire Dr, Baytown, TX 77521-1995 | Registered Nurse - Temporary | 2019-03-12 ~ 2019-07-10 |
| Shelly Marie O'malley-robinson | 1800 Cairo Dr, Festus, MO 63028-3160 | Registered Nurse - Temporary | 2019-11-06 ~ 2020-03-05 |
| Janice Perry Watford-granger | 1445 Shelly Circle, Lawrenceville, GA 30043 | Registered Nurse - Temporary | 2016-06-02 ~ 2016-09-29 |
| Hazel M Beck | 170 Wallis Rd, Rye, NH 03870 | Registered Nurse | 1992-06-25 ~ 1993-06-30 |
| Janine D Wallis | 12 Tanglewood Dr, Westfield, MA 01085-4135 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Sheila L Wallis | 341 Jude Lane, Southington, CT 06489 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
Please comment or provide details below to improve the information on SHELLY A WALLIS.
| 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).