KELLY J DODGE (Credential# 1274848) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is May 31, 2016. The license status is INACTIVE.
KELLY J DODGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.126174. The credential type is registered nurse. The effective date is May 1, 2015. The expiration date is May 31, 2016. The business address is 707 South St, Webster City, IA 50595-3051. The current status is inactive.
Licensee Name | KELLY J DODGE |
Credential ID | 1274848 |
Credential Number | 10.126174 |
Credential Type | Registered Nurse |
Business Address |
707 South St Webster City IA 50595-3051 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-05-01 |
Effective Date | 2015-05-01 |
Expiration Date | 2016-05-31 |
Refresh Date | 2016-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1275119 | 10.125618-TEMP | Registered Nurse - Temporary | 2015-03-30 | 2015-03-30 - 2015-07-27 | INACTIVE |
Street Address | 707 SOUTH ST |
City | WEBSTER CITY |
State | IA |
Zip Code | 50595-3051 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Charlotte A Chally · Johnson | 612 Lincoln Drive, Webster City, IA 50595 | Registered Nurse | ~ 1996-04-30 |
Bradley James Mcdonald | 1100 Woolsey Ave, Webster City, IA 50595-1853 | Registered Nurse | 2018-12-03 ~ 2019-12-31 |
Amani Omar Mc Murray | 836 Bank St, Webster City, IA 50595-2106 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
Mcmurray Hatchery | 191 Closz Dr, Webster City, IA 50595-3206 | Live Poultry Dealer | 2019-07-01 ~ 2020-06-30 |
City | WEBSTER CITY |
Zip Code | 50595 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + WEBSTER CITY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kelly L Dodge Md | 88 Harborside Dr, Milford, CT 06460-4825 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Anne D Fleishell-kelly · Kelly | 68 Musket Ridge Rd, Wilton, CT 06897 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Ann G Dodge | 263 Carpenter Road, Coventry, CT 06238 | Registered Nurse | 2008-05-13 ~ 2009-06-30 |
Thomas M Dodge | 37 Wyndermere Pl, Ludlow, MA 01056 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Patricia Dodge | 434 Whitfield St, Guilford, CT 06437 | Registered Nurse | 1992-03-24 ~ 1993-03-31 |
Meredith A Dodge | 53 Timber Trl, Tolland, CT 06084-3241 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kellie Lynn Dodge | Po Box 271, Kellogg, IA 50135-0271 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Sheila R Wheeler | 15 Dodge Dr, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Gary L Griswold | 5 Dodge Ct, Niantic, CT 06357 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Jennifer Dodge | 7 Fair St., Enfield, CT 06082 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
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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).