SARAH A WALGENBACH (Credential# 1181183) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2018. The license expiration date date is December 31, 2018. The license status is INACTIVE.
SARAH A WALGENBACH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.115130. The credential type is registered nurse. The effective date is January 1, 2018. The expiration date is December 31, 2018. The business address is 1040 Sarah Cir, Madison Lake, MN 56063-4487. The current status is inactive.
| Licensee Name | SARAH A WALGENBACH |
| Credential ID | 1181183 |
| Credential Number | 10.115130 |
| Credential Type | Registered Nurse |
| Business Address |
1040 Sarah Cir Madison Lake MN 56063-4487 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-12-02 |
| Effective Date | 2018-01-01 |
| Expiration Date | 2018-12-31 |
| Refresh Date | 2019-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1182858 | 10.113471-TEMP | Registered Nurse - Temporary | 2013-09-03 | 2013-09-03 - 2013-12-31 | INACTIVE |
| Street Address | 1040 SARAH CIR |
| City | MADISON LAKE |
| State | MN |
| Zip Code | 56063-4487 |
| City | MADISON LAKE |
| Zip Code | 56063 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + MADISON LAKE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Crystal M Walgenbach | 1838 Hibbard Drive, Stow, OH 44224 | Registered Nurse | 2009-09-01 ~ 2010-08-31 |
| Sarah K Borrelli · Sarah Ann | 10 Metro St, Bristol, CT 06010 | Licensed Practical Nurse | 2016-01-15 ~ 2016-01-15 |
| Sarah M Santos | 6 Gem Dr, Willimantic, CT 06226-1104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sarah M Helpa | 17 Poplar St, Chicopee, MA 01013-1441 | Registered Nurse | ~ |
| Sarah R Roghanian | 99 Elm Pl, Nutley, NJ 07110-1201 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
| Sarah A Butler | 224 3rd Ave, New London, CT 06320-2533 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Sarah I Gumprecht | Rd 1 Box 82, Ghent, NY 12075 | Registered Nurse | 1994-07-11 ~ 1995-09-30 |
| Sarah E Chan | 717 Fay Rd, Syracuse, NY 13219-3007 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Sarah H Trickett | Po Box 127, Willimantic, CT 06226 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sarah Bradford | P.o. Box 54, Newtown, CT 06470-0054 | Registered Nurse | 2004-08-05 ~ 2005-07-31 |
Please comment or provide details below to improve the information on SARAH A WALGENBACH.
| 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).