TIFFANY GWYNNDOLYN ASHLEY CHATHAM
Registered Nurse


Address: 20 Wildwood Drive, Palmyra, VA 22963

TIFFANY GWYNNDOLYN ASHLEY CHATHAM (Credential# 1370377) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 31, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.

Business Overview

TIFFANY GWYNNDOLYN ASHLEY CHATHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.136834. The credential type is registered nurse. The effective date is August 31, 2016. The expiration date is June 30, 2017. The business address is 20 Wildwood Drive, Palmyra, VA 22963. The current status is inactive.

Basic Information

Licensee Name TIFFANY GWYNNDOLYN ASHLEY CHATHAM
Credential ID 1370377
Credential Number 10.136834
Credential Type Registered Nurse
Business Address 20 Wildwood Drive
Palmyra
VA 22963
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-08-31
Effective Date 2016-08-31
Expiration Date 2017-06-30
Refresh Date 2017-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1373957 10.136367-TEMP Registered Nurse - Temporary 2016-08-16 2016-08-16 - 2016-12-13 INACTIVE

Office Location

Street Address 20 Wildwood Drive
City Palmyra
State VA
Zip Code 22963

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
William P Caretsky 15 Out of Bounds Rd, Palmyra, VA 22963 Professional Engineer 2020-02-01 ~ 2021-01-31
Tamara G Watson 3 Holly Circle, Palmyra, VA 22963 Registered Nurse 2010-12-01 ~ 2011-11-30
Thomas J Reilly 803 Jefferson Drive, Palmyra, VA 22963 Registered Nurse 2010-03-01 ~ 2011-02-28
Jeffrey C Ciucias 149 Jefferson Dr, Palmyra, VA 22963 Registered Nurse 1991-12-20 ~ 1992-12-31
Winifred A Golden · Egan 16 Hardwood Road, Palmyra, VA 22963 Registered Nurse 1996-01-31 ~ 1997-02-28
Joan M Wasserott 2 South Bearwood Dr, Palmyra, VA 22963 Registered Nurse 1999-11-02 ~ 2000-11-30
Joan F Nelsen 10 Mulligan Dr, Palmyra, VA 22963-2560 Dental Hygienist 2013-12-01 ~ 2014-11-30
Judith Graham 9 Windy Way, Palmyra, VA 22963-2642 Registered Nurse - Temporary 2010-12-06 ~ 2011-04-05
Suzanne Marie Paton 2 Xebec Rd, Palmyra, VA 22963-2743 Registered Nurse 2020-07-01 ~ 2021-06-30
Angela Marie Chatman 8 Shortwood Cir, Palmyra, VA 22963-2747 Registered Nurse 2019-08-01 ~ 2020-07-31
Find all Licenses in zip 22963

Competitor

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City Palmyra
Zip Code 22963
License Type Registered Nurse
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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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