JACKIE R PETERS (Credential# 1189968) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
JACKIE R PETERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.114388. The credential type is registered nurse. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is Po Box 9, Kents Store, VA 23084-0009. The current status is active.
| Licensee Name | JACKIE R PETERS |
| Credential ID | 1189968 |
| Credential Number | 10.114388 |
| Credential Type | Registered Nurse |
| Business Address |
Po Box 9 Kents Store VA 23084-0009 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-30 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-09-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1191634 | 10.114340-TEMP | Registered Nurse - Temporary | 2013-10-30 | 2013-10-30 - 2014-02-26 | INACTIVE |
| Street Address | PO BOX 9 |
| City | KENTS STORE |
| State | VA |
| Zip Code | 23084-0009 |
| City | KENTS STORE |
| Zip Code | 23084 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + KENTS STORE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Peters | 564 Peters Branch Rd, Booneville, KY 41314-7199 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Betty J Peters | 42 Peters Circle, Southington, CT 06489 | Licensed Practical Nurse | 2011-01-01 ~ 2011-12-31 |
| Jackie L Hoskins | 312 N May St Apt 3g, Chicago, IL 60607-1233 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Jackie L Aragon | 20 Second St, Binghamton, NY 13903 | Registered Nurse | 1999-06-01 ~ 2000-05-31 |
| Jackie A Alexander | 833 South St., Brookston, IN 47923 | Registered Nurse | 2006-09-01 ~ 2007-09-30 |
| Jackie Strawn | 17 Stonebridge Way, Tyringham, MA 01264 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Jackie Lamitie | 27 Roger Rd, Griswold, CT 06351-1217 | Registered Nurse | 2020-01-13 ~ 2020-10-31 |
| Jackie L. Walgram | 4881 Wil O Paw Dr, Coloma, MI 49038-8816 | Registered Nurse | 2018-02-01 ~ 2019-01-31 |
| Jackie Cull | 2 Bridgewater Road, Farmington, CT 06032 | Registered Nurse | 2002-01-07 ~ 2002-12-31 |
| Jackie L Mcgee | 2312 Hounds Way, Hickory, NC 28601 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
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| 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).