PHYLLIS C WALLS
Registered Nurse


Address: 6401 Polar Fox Ct, Riverdale, GA 30296-2344

PHYLLIS C WALLS (Credential# 1216170) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 2, 2014. The license expiration date date is January 31, 2015. The license status is INACTIVE.

Business Overview

PHYLLIS C WALLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.121809. The credential type is registered nurse. The effective date is September 2, 2014. The expiration date is January 31, 2015. The business address is 6401 Polar Fox Ct, Riverdale, GA 30296-2344. The current status is inactive.

Basic Information

Licensee Name PHYLLIS C WALLS
Credential ID 1216170
Credential Number 10.121809
Credential Type Registered Nurse
Business Address 6401 Polar Fox Ct
Riverdale
GA 30296-2344
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-09-02
Effective Date 2014-09-02
Expiration Date 2015-01-31
Refresh Date 2015-05-06

Office Location

Street Address 6401 POLAR FOX CT
City RIVERDALE
State GA
Zip Code 30296-2344

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Shirley M Reddick 6138 Castlegate Court, Riverdale, GA 30296 Registered Nurse 2018-11-01 ~ 2019-10-31
Ambreen Tariq 994 Salisbury Trl., Riverdale, GA 30296 Physician/surgeon 2017-08-10 ~ 2018-07-31
Ligiea P Hagan 6724 Wellesley Drive, Riverdale, GA 30296 Registered Nurse 2009-07-13 ~ 2010-07-31
Cindy D Hodnett 1167 E Fayetteville Rd, Riverdale, GA 30296 Registered Nurse 2008-07-09 ~ 2009-07-31
Karen Raiford-beard 6705 Alvan Court, Riverdaleark, GA 30296 Registered Nurse 2007-01-12 ~ 2008-02-29
Yvonne P Powell · Johnson 6538 Albright Trail, Riverdale, GA 30296 Registered Nurse ~ 1998-03-31
Kiana P Ancrum 6893 Creekmoor Lane, Riverdale, GA 30296 Registered Nurse 2001-09-04 ~ 2002-09-30
Alicia Armstrong 2585-b Teakwood Lane, Riverdale, GA 30296 Hairdresser/cosmetician 2006-09-28 ~ 2008-09-30
Kimberly Michelle Swift 6955 Old Bethsaida Way, Riverdale, GA 30296-1685 Registered Nurse 2020-09-01 ~ 2021-08-31
Ericka L Wright 6240 Polar Fox Ct, Riverdale, GA 30296-2342 Registered Nurse 2016-03-16 ~ 2017-03-31
Find all Licenses in zip 30296

Competitor

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City RIVERDALE
Zip Code 30296
License Type Registered Nurse
License Type + County Registered Nurse + RIVERDALE

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Dataset Information

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).

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