KHOLISWA V POTELWA WILLIAMS (Credential# 1213372) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is March 24, 2014. The license expiration date date is July 21, 2014. The license status is INACTIVE.
KHOLISWA V POTELWA WILLIAMS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.117805-TEMP. The credential type is registered nurse - temporary. The effective date is March 24, 2014. The expiration date is July 21, 2014. The business address is 561 Golden Maple Ave, Brookville, OH 45309-8785. The current status is inactive.
| Licensee Name | KHOLISWA V POTELWA WILLIAMS |
| Credential ID | 1213372 |
| Credential Number | 10.117805-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
561 Golden Maple Ave Brookville OH 45309-8785 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2014-03-24 |
| Effective Date | 2014-03-24 |
| Expiration Date | 2014-07-21 |
| Refresh Date | 2014-07-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1212168 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 561 GOLDEN MAPLE AVE |
| City | BROOKVILLE |
| State | OH |
| Zip Code | 45309-8785 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol Alfiero | 512 Main Street, Brookville, OH 45309 | Hairdresser/cosmetician | 1992-11-24 ~ 1993-08-31 |
| Thipp M Hong | 709 Flanders Ave, Brookville, OH 45309-1387 | Registered Nurse - Temporary | 2013-08-16 ~ 2013-12-13 |
| Alec R Carnes | 7001 Loner Ln, Brookville, OH 45309-7200 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Provimi North America Inc | 10 Nutrition Way, Brookville, OH 45309-8884 | Commercial Feed | 2017-01-01 ~ 2017-12-31 |
| Sue A May | 8815 Pleasant Plain Rd, Brookville, OH 45309-9215 | Registered Nurse | 2014-03-27 ~ 2015-03-31 |
| Kristen N Norton | 14 Wilderness Cv, Brookville, OH 45309-9344 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Cynthia Mae Bentley | 4667 Sulphur Springs Rd, Brookville, OH 45309-9706 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Mindy Jo Hyre | 4920 Preble County Line Rd, Brookville, OH 45309-9715 | Pharmacist | 2014-09-17 ~ 2016-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Patricia Hess | 11003 Crestview Drive, Brookville, IN 47012 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Priscilla Delp | 81 Creek Hollow Ridge, Brookville, PA 15825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Catherine G Marshall | 9019 Hidden Valley Ln, Brookville, IN 47012-8151 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Song Young Yu | 14a Quaker Ridge Dr., Brookville, NY 11545 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Sarah K Adams | 20 Ferry Road, Brookville, ME 04617 | Registered Nurse | 2008-04-14 ~ 2009-05-31 |
| Kellie L Bauman | 12056 St Peters Rd, Brookville, IN 47012 | Registered Nurse | 1997-03-31 ~ 1998-05-31 |
| Debra F Strosahl | 167 Brookville Rd., Brookville, CT 11545 | Occupational Therapist | 2001-05-29 ~ 2003-07-31 |
| Kathleen A Price | 11294 St Peter's Rd, Brookville, IN 47012 | Registered Nurse | 1999-02-16 ~ 1999-11-30 |
| Ronald N Lawless | 4195 Blue Creek Rd, Brookville, IN 47012 | Heating, Piping & Cooling Limited Journeyperson | 2007-09-01 ~ 2008-08-31 |
| Michael D Skurnik · Usa Wine Distributors | 1620 Olde Cedar Swamp Road, Brookville, NY 11545 | Wholesaler Salesman | 2003-12-11 ~ |
| Find all Licenses in BROOKVILLE | |||
| City | BROOKVILLE |
| Zip Code | 45309 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + BROOKVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin Williams | Po Box 924, Davenport, FL 33836 | Registered Nurse - Temporary | 2018-06-26 ~ 2018-10-23 |
| Karen Williams | Po Box 4262, Hilo, HI 96720-0262 | Registered Nurse - Temporary | 2009-09-18 ~ 2010-01-16 |
| Irnise Williams | 322 E 151st St Apt 1, Bronx, NY 10451-5121 | Registered Nurse - Temporary | 2020-06-21 ~ 2020-10-19 |
| Barbara A Williams | 500 Hathaway Rd, New Bedford, MA 02740-1939 | Registered Nurse - Temporary | 2013-10-22 ~ 2014-02-18 |
| Tania M Colon | 569 Williams Rd, Fitchburg, MA 01420-1840 | Registered Nurse - Temporary | 2014-06-11 ~ 2014-10-08 |
| Abigail R Williams | 75 Carney St, Uxbridge, MA 01569-1808 | Registered Nurse - Temporary | 2019-10-02 ~ 2020-01-30 |
| Lorilea Williams | 109 Plantation Dr, Vicksburg, MS 39183-8765 | Registered Nurse - Temporary | 2012-08-29 ~ 2012-12-27 |
| Karin N Williams | 100 Debs Pl Apt 21g, Bronx, NY 10475-2506 | Registered Nurse - Temporary | 2010-11-22 ~ 2011-03-22 |
| Elizabeth A Williams | 73 Herbert St, Longmeadow, MA 01106-3012 | Registered Nurse - Temporary | 2012-02-01 ~ 2012-05-31 |
| Talana R Williams | 232 Caitlyn Dr, Hampton, GA 30228-6017 | Registered Nurse - Temporary | 2014-05-07 ~ 2014-09-03 |
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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).