SHAVON E BERTHOLD (Credential# 1273124) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 2, 2015. The license expiration date date is December 31, 2016. The license status is INACTIVE.
SHAVON E BERTHOLD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.130972. The credential type is registered nurse. The effective date is December 2, 2015. The expiration date is December 31, 2016. The business address is 1257 Hyman Ave, Bayshore, NY 11706. The current status is inactive.
| Licensee Name | SHAVON E BERTHOLD |
| Credential ID | 1273124 |
| Credential Number | 10.130972 |
| Credential Type | Registered Nurse |
| Business Address |
1257 Hyman Ave Bayshore NY 11706 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-12-02 |
| Effective Date | 2015-12-02 |
| Expiration Date | 2016-12-31 |
| Refresh Date | 2017-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1273147 | 10.125437-TEMP | Registered Nurse - Temporary | 2015-03-19 | 2015-03-19 - 2015-07-16 | INACTIVE |
| Street Address | 1257 Hyman Ave |
| City | Bayshore |
| State | NY |
| Zip Code | 11706 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ruby Thomas | 1682 Pine Acres Blvd, Bayshore, NY 11706 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
| Louis G Schwartz | 7 Ridgewood St, Bay Shore, NY 11706 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Glenn D Scibilia | 375 East Main Street, Suite 24, Bay Shore, NY 11706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Heather Nicole Martin | 345 Atlantic Ave, Bay Shore, NY 11706 | Registered Nurse | 2018-11-15 ~ 2019-08-31 |
| Joseph Marino | 2 Pinebrook Place, Bay Shore, NY 11706 | Notary Public Appointment | 2001-08-23 ~ 2006-08-31 |
| Christopher J Delisle | 47 Community Road, Bayshore, NY 11706 | Notary Public Appointment | 2006-07-01 ~ 2011-06-30 |
| Eddie Santiago | 711 Justine Court, Bayshore, NY 11706 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| John Dundon | 1141 Nugent Avenue, Bay Shore, NY 11706 | Advanced Emergency Medical Technician | ~ |
| Emilie L Bui | 117 Cleveland Street, Bay Shore, NY 11706 | Pharmacy Intern | 2016-05-16 ~ 2018-09-30 |
| Jay E Tuller · Rosenbaum Design Group | 18 Mystic Circle, Bay Shore, NY 11706 | Architect | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 11706 | |||
| City | Bayshore |
| Zip Code | 11706 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Bayshore |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison K Berthold | 413 Unruh Ave, Philadelphia, PA 19111-4631 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
| Shavon L. Russell | 467 S Main St, West Hartford, CT 06110 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Shavon Slade | 5419 Hicone Rd # Rd, Mc Leansville, NC 27301-9720 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Shavon Monique Birl | 6303 Aires Drive, Arlington, TX 76001 | Registered Nurse | 2019-11-01 ~ 2020-11-30 |
| Shavon Yvette Page | 4374 Lock Ness Ln, Snellville, GA 30039-8457 | Registered Nurse - Temporary | 2020-01-27 ~ 2020-05-26 |
| Christa R Berthold | 5 Standish St, Enfield, CT 06082 | Licensed Practical Nurse | 2011-02-01 ~ 2012-01-31 |
| Bryan P Berthold | 615 Americas Cup Cv, Alpharetta, GA 30005-4366 | Architect | 2019-08-01 ~ 2020-07-31 |
| Michelle L B Flynn · Berthold | 12304 Cilcain Ct, Raleigh, NC 27614 | Radiographer | 2005-09-09 ~ 2006-08-31 |
| Karen J Berthold | 26 Wynwood Drive, Enfield, CT 06082 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Brooke A Berthold | 8 Boulder Drive, Wolcott, CT 06716 | Real Estate Salesperson | ~ |
Please comment or provide details below to improve the information on SHAVON E BERTHOLD.
| 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).