JAN SUMMER M OSBORNE (Credential# 1304095) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
JAN SUMMER M OSBORNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006381. The credential type is advanced practice registered nurse. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 136 Regency Dr, Kingsport, TN 37663-3337. The current status is inactive.
Licensee Name | JAN SUMMER M OSBORNE |
Credential ID | 1304095 |
Credential Number | 12.006381 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
136 Regency Dr Kingsport TN 37663-3337 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-11-12 |
Effective Date | 2016-08-01 |
Expiration Date | 2017-07-31 |
Refresh Date | 2017-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1304091 | 10.130673 | Registered Nurse | 2015-11-12 | 2016-08-01 - 2017-07-31 | INACTIVE |
1320893 | CSP.0061768 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-11-14 | 2015-11-14 - 2017-02-28 | INACTIVE |
Street Address | 136 REGENCY DR |
City | KINGSPORT |
State | TN |
Zip Code | 37663-3337 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
April Tan | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
Accurate Healthcare - Georgia | 6612 Eastern Star Rd., Kingsport, TN 37663 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-07-01 ~ 2016-06-30 |
Valerie C Ford | 516 Robindale Ln, Kingsport, TN 37663 | Registered Nurse | 1995-06-09 ~ 1996-06-30 |
Michele C Rose · Martin | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2008-12-05 ~ 2009-12-31 |
Jeri L Holweger | 4128 Fort Henry Dr # D276, Kingsport, TN 37663-2260 | Advanced Practice Registered Nurse | ~ |
Jeffry M Holweger | 4128 Fort Henry Dr # D-226, Kingsport, TN 37663-2260 | Advanced Practice Registered Nurse | ~ |
Cathy B Pollard | 142 Lebanon Rd, Kingsport, TN 37663-2625 | Registered Nurse | 2015-10-16 ~ 2016-06-30 |
Sherrika B Evans | 107 Phoenix Ct, Kingsport, TN 37663-3086 | Registered Nurse - Temporary | 2014-03-20 ~ 2014-07-17 |
Jeffrey J Roy | 220 Winchester Dr, Kingsport, TN 37663-3281 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laurel Lee Szabo | 4013 Harbor Chapel Rd, Kingsport, TN 37664-2859 | Registered Nurse | 2020-04-02 ~ 2021-04-30 |
Charlona Johnson | 2423 E Center St, Kingsport, TN 37664-2703 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Angela J Fleenor | 369 Bridwell Heights Rd, Kingsport, TN 37664-4740 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Brittany J Wallen | 1085 Rotherwood Dr, Kingsport, TN 37660-7262 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Eddie W Selvage | 326 Emory Church Road, Kingsport, TN 37664 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
Valmai Sune | 1013 Catawba St, Kingsport, TN 37660-4501 | Dental Hygienist | 2018-04-01 ~ 2019-03-31 |
Monica Velasco | 2209 Sunningdale Rd, Kingsport, TN 37660-2940 | Registered Nurse | 2018-08-02 ~ 2018-11-30 |
Emmanuel A Adedokun Md | 1000 University Blvd, Kingsport, TN 37660 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Emily C. M. Pate | 2116 Sherwood Road, Kingsport, TN 37664 | Registered Nurse - Temporary | 2015-10-28 ~ 2016-02-24 |
Poojitha P Chandrasekhar | 2507 Cloister Ln, Kingsport, TN 37660-4856 | Dentist | 2013-09-26 ~ 2014-09-30 |
Find all Licenses in KINGSPORT |
City | KINGSPORT |
Zip Code | 37663 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + KINGSPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Danielle Hartzband | 750 Summer St Apt 402, Stamford, CT 06901-1046 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Jillian M Sacco | 26 Summer Ln, North Haven, CT 06473-3567 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Kris A Mullin | 69 Summer Ln, Rocky Hill, CT 06067-1058 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Carly Hachey | 184 Summer St Apt 1915, Stamford, CT 06901-2370 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Suzanne M O'connor | 112 Summer Ln, North Haven, CT 06473-3555 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Paul Andrew Jones | 184 Summer Street, Stamford, CT 06901 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Nancy F Parker | Rfd 2 Box 310, Springfield, VT 05156 | Advanced Practice Registered Nurse | 1995-03-24 ~ 1996-03-31 |
Sue A Smolski | 39 Farmington Ave, Plainville, CT 06062 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
L. Ann Whitaker | 20 Sconset Ln, Guilford, CT 06437-1899 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
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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).