JACKIE L. WALGRAM (Credential# 1286445) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2019. The license status is INACTIVE.
JACKIE L. WALGRAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.131494. The credential type is registered nurse. The effective date is February 1, 2018. The expiration date is January 31, 2019. The business address is 4881 Wil O Paw Dr, Coloma, MI 49038-8816. The current status is inactive.
| Licensee Name | JACKIE L. WALGRAM |
| Credential ID | 1286445 |
| Credential Number | 10.131494 |
| Credential Type | Registered Nurse |
| Business Address |
4881 Wil O Paw Dr Coloma MI 49038-8816 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-01-20 |
| Effective Date | 2018-02-01 |
| Expiration Date | 2019-01-31 |
| Refresh Date | 2019-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1286536 | 10.126549-TEMP | Registered Nurse - Temporary | 2015-05-22 | 2015-05-22 - 2015-09-18 | INACTIVE |
| Street Address | 4881 WIL O PAW DR |
| City | COLOMA |
| State | MI |
| Zip Code | 49038-8816 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin R Hatfield | 5300 Morning Aire Ln, Coloma, MI 49038-9350 | Heating, Piping & Cooling Limited Journeyperson | 2011-09-01 ~ 2012-08-31 |
| City | COLOMA |
| Zip Code | 49038 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + COLOMA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jackie L Aragon | 20 Second St, Binghamton, NY 13903 | Registered Nurse | 1999-06-01 ~ 2000-05-31 |
| Jackie L Hoskins | 312 N May St Apt 3g, Chicago, IL 60607-1233 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Jackie Lamitie | 27 Roger Rd, Griswold, CT 06351-1217 | Registered Nurse | 2020-01-13 ~ 2020-10-31 |
| Jackie A Alexander | 833 South St., Brookston, IN 47923 | Registered Nurse | 2006-09-01 ~ 2007-09-30 |
| Jackie Strawn | 17 Stonebridge Way, Tyringham, MA 01264 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Jackie R Peters | Po Box 9, Kents Store, VA 23084-0009 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Jackie L Salt | 16268 W Superior Ave, Goodyear, AZ 85338-3535 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Heather Mccall-kruse | 10 Jackie Ln, Depew, NY 14043-1810 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Jackie Cull | 2 Bridgewater Road, Farmington, CT 06032 | Registered Nurse | 2002-01-07 ~ 2002-12-31 |
| Jackie L Maselek | 14 Windmill Spgs, Granby, CT 06035-2315 | Registered Nurse | 2014-01-01 ~ 2014-12-31 |
Please comment or provide details below to improve the information on JACKIE L. WALGRAM.
| 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).