KERRY A WALLACE
Registered Nurse


Address: 196 Wallin Rd, Reidsville, NC 27320-7980

KERRY A WALLACE (Credential# 1345024) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.

Business Overview

KERRY A WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.138006. The credential type is registered nurse. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 196 Wallin Rd, Reidsville, NC 27320-7980. The current status is inactive.

Basic Information

Licensee Name KERRY A WALLACE
Credential ID 1345024
Credential Number 10.138006
Credential Type Registered Nurse
Business Address 196 Wallin Rd
Reidsville
NC 27320-7980
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-10-18
Effective Date 2017-11-01
Expiration Date 2018-10-31
Refresh Date 2019-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1368918 10.135369-TEMP Registered Nurse - Temporary 2016-07-26 2016-07-26 - 2016-11-22 INACTIVE

Office Location

Street Address 196 WALLIN RD
City REIDSVILLE
State NC
Zip Code 27320-7980

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Crystal Leigh Mcgibbony 690 Garrison Road, Reidsville, NC 27320 Registered Nurse ~
Melissa Robin Yeatts 1800 Hampton Road, Reidsville, NC 27320 Registered Nurse 2019-01-01 ~ 2019-12-31
April Hicks Mckinney 9147 Hwy 150, Reidsville, NC 27320 Registered Nurse 2020-01-09 ~ 2020-09-30
Amy S Shaw 806 Lawndale Drive, Reidsville, NC 27320 Registered Nurse 2019-10-01 ~ 2020-09-30
Ryan Phillip Wilkinson 1303 Pinecrest Ave, Reidsville, NC 27320 Registered Nurse 2019-09-01 ~ 2020-08-31
Dianne F Ryan 361 Hush Hickory Trace, Reidsville, NC 27320 Registered Nurse 2015-10-01 ~ 2016-09-30
Kathy S Harris 412 Cypress Drive, Reidsville, NC 27320 Registered Nurse 2015-09-01 ~ 2016-08-31
Holly Taylor 7153 Us Bus 29, Reidsville, NC 27320 Registered Nurse 2015-03-02 ~ 2015-08-31
Mary Ann Olsen · Minervino 3015 Iron Works Rd., Reidsville, NC 27320 Hairdresser/cosmetician 2010-04-01 ~ 2012-03-31
Elizabeth P Bailey 150 Anchor Road, Reidsville, NC 27320 Registered Nurse 2011-01-01 ~ 2011-12-31
Find all Licenses in zip 27320

Competitor

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City REIDSVILLE
Zip Code 27320
License Type Registered Nurse
License Type + County Registered Nurse + REIDSVILLE

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Kerry L Landers 32 Fleet St Apt 3, Boston, MA 02113-2026 Registered Nurse 2017-04-01 ~ 2018-03-31
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Dataset Information

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).

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