BONNIE K MALLON (Credential# 1228471) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.
BONNIE K MALLON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.122413. The credential type is registered nurse. The effective date is October 1, 2014. The expiration date is October 31, 2015. The business address is 543 Ashbury Dr, Fond Du Lac, WI 54935-6389. The current status is inactive.
Licensee Name | BONNIE K MALLON |
Credential ID | 1228471 |
Credential Number | 10.122413 |
Credential Type | Registered Nurse |
Business Address |
543 Ashbury Dr Fond Du Lac WI 54935-6389 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-10-01 |
Effective Date | 2014-10-01 |
Expiration Date | 2015-10-31 |
Refresh Date | 2016-02-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1236644 | 10.120616-TEMP | Registered Nurse - Temporary | 2014-07-25 | 2014-07-25 - 2014-11-21 | INACTIVE |
Street Address | 543 ASHBURY DR |
City | FOND DU LAC |
State | WI |
Zip Code | 54935-6389 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas Schermerhorn | 100 Camelot Dr, Fond Du Lac, WI 54935 | Architect | 2020-08-01 ~ 2021-07-31 |
James W Todd | 100 Camelot Drive, Fond Du Lac, WI 54935 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Tammy M Boudry | 133 Parkway Court, Fond Du Lac, WI 54935 | Dental Hygienist | 2000-11-14 ~ 2001-10-31 |
Tracy L Venne | W4508 4th Street Road, Fond Du Lac, WI 54935 | Radiographer | 2005-07-12 ~ 2006-08-31 |
Eugenia D Hord | W 3817 Stoneridge Drive, Fond Du Lac, WI 54935 | Physician/surgeon | 2006-09-21 ~ 2007-06-30 |
John M Crossen | 842 Sterling Dr, Fond Du Lac, WI 54935 | Electrical Unlimited Journeyperson | 2005-10-01 ~ 2006-09-30 |
Thomas J Chase | W3894 Highway 23 E, Fonddalac, WI 54935 | Heating, Piping & Cooling Limited Journeyperson | ~ 1995-10-01 |
C D Smith Construction Inc · Gco.00617 | 889 E Johnson St, Fond Du Lac, WI 54935 | Major Contractor | 1996-07-01 ~ 1997-06-30 |
James R Gerloff | 100 Camelot Drive, Fond Du Lac, WI 54935 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Greg M Bloomberg | 481 Forest Ave, Fond Du Lac, WI 54935-3957 | Public Service Technician - Telephone | 2008-10-02 ~ 2009-09-30 |
Find all Licenses in zip 54935 |
City | FOND DU LAC |
Zip Code | 54935 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + FOND DU LAC |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heather A Mallon | 16 Bayberry Dr, Prospect, CT 06712 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Kelly A Mallon | 435 E 75th St Apt 10c, New York, NY 10021-1401 | Registered Nurse | 2013-11-01 ~ 2014-10-31 |
Elaine D Mallon | 371 Curtiss St, Southington, CT 06489 | Registered Nurse | 1998-10-20 ~ 1999-11-30 |
Maria Mallon | 95 B Quannacut Rd, Westerly, RI 02891 | Registered Nurse | 1996-10-23 ~ 1997-12-31 |
Patricia W Mallon | 21 Lullwater, Trumbull, CT 06611 | Registered Nurse | 2005-05-03 ~ 2006-01-31 |
Carolyn R Mallon | 10 Beacon St, Concord, NH 03301 | Registered Nurse | 2015-05-29 ~ 2016-04-30 |
Brittany A Mallon | 140 Beardsley Parkway, Trumbull, CT 06611 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Joanne K Mallon | 14 Meads Lane, Stormville, NY 12582 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Andrea M Mallon | 68 Brittany Lane, Glenmoore, PA 19343 | Registered Nurse | 2010-09-01 ~ 2011-08-31 |
James Dalton Mallon | 146 Heather Rdg, Shelton, CT 06484-4689 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
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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).