RENEA D VAN BROCKLIN (Credential# 1210005) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is March 4, 2014. The license expiration date date is July 1, 2014. The license status is INACTIVE.
RENEA D VAN BROCKLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.117222-TEMP. The credential type is registered nurse - temporary. The effective date is March 4, 2014. The expiration date is July 1, 2014. The business address is 2048 E Walker Rd, Lake City, MI 49651-9358. The current status is inactive.
| Licensee Name | RENEA D VAN BROCKLIN |
| Credential ID | 1210005 |
| Credential Number | 10.117222-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
2048 E Walker Rd Lake City MI 49651-9358 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2014-03-04 |
| Effective Date | 2014-03-04 |
| Expiration Date | 2014-07-01 |
| Refresh Date | 2014-07-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1207834 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 2048 E WALKER RD |
| City | LAKE CITY |
| State | MI |
| Zip Code | 49651-9358 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Local Media Foundation · Covid-19 Local News Fund | Po Box 450, Lake City, MI 49651-0450 | Public Charity | 2020-05-15 ~ 2020-11-30 |
| Brandon L Mcginess | 323 S Houghton St, Lake City, MI 49651-8562 | Physical Therapist Assistant | 2017-03-07 ~ 2018-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wild Wings LLC | 2101 S Highway 61, Lake City, MN 55041-3327 | Importer of Bedding & Upholstered Furniture | 2020-05-08 ~ 2021-04-30 |
| Michael Aaron Skinner | 2192 Sw Nautilus Rd, Lake City, FL 32024-5327 | Registered Nurse | 2020-05-08 ~ 2021-04-30 |
| Daybreak Inc · Huber and Associates | 186 Sw Ring Ct, Lake City, FL 32025-9726 | Home Improvement Contractor | 2020-02-12 ~ 2020-11-30 |
| Nikunjkumar J Patel | 5209 Phillips Dr, Lake City, GA 30260 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Patricia Diane Widman | 1644 Sw Saint James Ct, Lake City, FL 32025-0619 | Registered Nurse - Temporary | 2019-07-29 ~ 2019-11-26 |
| Debby Bergeron | 134 Medford Lane, Lake City, TN 37769 | Radiographer | 2018-07-01 ~ 2019-06-30 |
| Jeanne M Decker | 1907 Sw Sisters Welcome Rd, Lake City, FL 32025 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Rich Products Corp | Lake City Division, Lake City, PA 16423 | Bakery | 1998-07-08 ~ 1999-06-30 |
| Lake Shore Frozen Foods | 10307 Hall Ave, Lake City, PA 16417 | Bakery | 2001-07-01 ~ 2002-06-30 |
| Thomas S Ricks | Rt 4 Box 740 Godbold Court, Lake City, FL 32024 | Crane Operator | 1997-04-25 ~ 1999-04-24 |
| Find all Licenses in LAKE CITY | |||
| City | LAKE CITY |
| Zip Code | 49651 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + LAKE CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne Renea Brown | 350 Main St N Unit 230, Stillwater, MN 55082-6745 | Registered Nurse - Temporary | 2018-07-12 ~ 2018-11-08 |
| Caroline Renea Holt | 252 N Boundary St, Butler, PA 16001-3038 | Registered Nurse | 2019-03-13 ~ 2020-02-29 |
| Renea Koval | 28 Green Field Ln, North Haven, CT 06473-4039 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Lisa Renea Phillips | 1310 Rancho Mirage Dr, Dallas, TX 75204-5518 | Registered Nurse | 2018-01-30 ~ 2018-06-30 |
| Renea Woodland Aprn | Hartford Anesthesiology Assoc, Hartford, CT 06106 | Advanced Practice Registered Nurse | 2008-02-04 ~ 2009-03-31 |
| Zipporah Renea Benjamin | 43 Starlet Ln, Waterbury, CT 06704 | Licensed Practical Nurse | 2019-06-01 ~ 2020-05-31 |
| Stacy Renea Stevenson | 4105 Hillington Dr Ne, Atlanta, GA 30345-8011 | Licensed Practical Nurse | ~ |
| Renea L Ervin · Bender | 33 Trading Gove Drive, Norwich, CT 06360 | Licensed Practical Nurse | 2002-02-11 ~ 2003-02-28 |
| Renea K Clarke | 174 Cityview Ave, Bridgeport, CT 06606-2517 | Emergency Medical Technician | ~ |
| Renea Sharpe | 363 Sayles Ave, Pascoag, RI 02859-3170 | Hairdresser/cosmetician | 2019-11-07 ~ 2021-11-30 |
Please comment or provide details below to improve the information on RENEA D VAN BROCKLIN.
| 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).