JOSE I GUTIERREZ (Credential# 1376161) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
JOSE I GUTIERREZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006716. The credential type is advanced practice registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 1548 Woodbine Cir N, Galesburg, IL 61401-2340. The current status is active.
| Licensee Name | JOSE I GUTIERREZ |
| Credential ID | 1376161 |
| Credential Number | 12.006716 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
1548 Woodbine Cir N Galesburg IL 61401-2340 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-09-02 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1164648 | 10.112324 | Registered Nurse | 2013-07-17 | 2020-08-01 - 2021-07-31 | ACTIVE |
| 1382563 | CSP.0064153 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-10-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1165511 | 10.111311-TEMP | Registered Nurse - Temporary | 2013-05-24 | 2013-05-24 - 2013-09-20 | INACTIVE |
| Street Address | 1548 WOODBINE CIR N |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Naomi Nadine Johnson Wai | 1160 N. Academy Street, Galesburg, IL 61401 | Physician Assistant | 2009-11-01 ~ 2010-10-31 |
| Donna L Crimmin | 216 Illini Drive, Galesburg, IL 61401 | Registered Nurse | 1995-01-04 ~ 1996-01-31 |
| Alan A Tomasko | 188 Knox Road 720 N, Galesburg, IL 61401 | Physical Therapist | 2004-11-17 ~ 2005-08-31 |
| Tiana Denise Brown | 1130 N Kellogg St, Galesburg, IL 61401-2817 | Registered Nurse | 2019-10-21 ~ 2020-10-31 |
| Jeffery R Chambers | 1534 E North St, Galesburg, IL 61401-4130 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| National Association for The Exchange of Industrial Resources | 560 Mcclure St, Galesburg, IL 61401-4286 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Christopher S Kinne | 991 S Cedar St, Galesburg, IL 61401-5921 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara A Bourque | 3814 Briar Patch Ln, Galesburg, MI 49053-9781 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Theresa J Meinert | 9156 Weathervane Trl, Galesburg, MI 49053-9777 | Audiologist | 2020-03-01 ~ 2021-02-28 |
| Victoria L Collins | 46 Grove, Galesburg, MI 49053 | Registered Nurse | 2002-09-23 ~ 2003-06-30 |
| City | GALESBURG |
| Zip Code | 61401 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + GALESBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tammy A Devincentis | 4417 Grimsby Dr, San Jose, CA 95130-2033 | Advanced Practice Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Jill M Nagel · Brashaw | 4449 Lanes End Place, San Jose, CA 95121 | Advanced Practice Registered Nurse | 2000-06-12 ~ 2001-07-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann Mullins | 885 Enon Ln, Bolivar, TN 38008-3851 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
| Karen Parkhurst | 65 Fox Run Dr, Southbury, CT 06488-2441 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Effiem Obasi | 143 Longwood Ave, Providence, RI 02908-1121 | Advanced Practice Registered Nurse | ~ |
| Ann K Murtaugh | 68 Wardwell Dr, New Canaan, CT 06840 | Advanced Practice Registered Nurse | 1998-01-06 ~ 1999-02-28 |
| Sharon K Hernly | 20 Fox Den Rd, Danbury, CT 06811 | Advanced Practice Registered Nurse | 1997-02-05 ~ 1998-03-31 |
| Elizabeth S Doty | 77 Lee Dr, Southington, CT 06489-2926 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on JOSE I GUTIERREZ.
| 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).