DONNA J BLACKMON (Credential# 1198600) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is December 13, 2013. The license expiration date date is April 11, 2014. The license status is INACTIVE.
DONNA J BLACKMON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.115501-TEMP. The credential type is registered nurse - temporary. The effective date is December 13, 2013. The expiration date is April 11, 2014. The business address is 726 Motley Rd, Daviston, AL 36256-7308. The current status is inactive.
Licensee Name | DONNA J BLACKMON |
Credential ID | 1198600 |
Credential Number | 10.115501-TEMP |
Credential Type | Registered Nurse - Temporary |
Credential SubCategory | TEMP |
Business Address |
726 Motley Rd Daviston AL 36256-7308 |
Business Type | INDIVIDUAL |
Status | INACTIVE - INACTIVE |
Issue Date | 2013-12-13 |
Effective Date | 2013-12-13 |
Expiration Date | 2014-04-11 |
Refresh Date | 2014-06-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1198594 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
Street Address | 726 MOTLEY RD |
City | DAVISTON |
State | AL |
Zip Code | 36256-7308 |
City | DAVISTON |
Zip Code | 36256 |
License Type | Registered Nurse - Temporary |
License Type + County | Registered Nurse - Temporary + DAVISTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary E Holman | 7167 Blackmon Rd, Columbus, GA 31909-7516 | Registered Nurse - Temporary | 2012-09-26 ~ 2013-01-24 |
Adrienne Blackmon | 1109 Castle Harbour Way, Glen Burnie, MD 21060-0915 | Registered Nurse - Temporary | 2013-04-04 ~ 2013-08-01 |
Stephanie M Blackmon | Po Box 148, St Thomas, VI 00804-0148 | Registered Nurse | 2012-10-03 ~ 2013-10-31 |
Donna S Fleenor | 218 Sw 2nd St, Richmond, IN 47374-5317 | Registered Nurse - Temporary | 2014-10-31 ~ 2015-02-27 |
Mary G Blackmon | 3605 County Rd.3, Orrville, AL 36767 | Registered Nurse | 2000-10-17 ~ 2001-10-31 |
Donna J Fortunate | 123 Westover Dr, Dover, DE 19904-9790 | Registered Nurse - Temporary | 2009-10-06 ~ 2010-02-03 |
Donna M Pruitt | 328 Etowah St Se, Attalla, AL 35954-3413 | Registered Nurse - Temporary | 2013-11-13 ~ 2014-03-12 |
Donna C Luebbers | 205 Elm Ave, Castle Rock, CO 80104-2307 | Registered Nurse - Temporary | 2013-11-05 ~ 2014-03-04 |
Donna Muhr | 16 Bailey Rd, Nantucket, MA 02554-2759 | Registered Nurse - Temporary | 2020-06-22 ~ 2020-10-20 |
Donna L Van Vooren | 66150 M 62, Edwardsburg, MI 49112-9321 | Registered Nurse - Temporary | 2009-11-12 ~ 2010-03-12 |
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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).