KYLE ABRAHAM ROTH (Credential# 1392214) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is December 5, 2016. The license expiration date date is April 3, 2017. The license status is INACTIVE.
KYLE ABRAHAM ROTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.139071-TEMP. The credential type is registered nurse - temporary. The effective date is December 5, 2016. The expiration date is April 3, 2017. The business address is 1747 E Northern Ave Unit 204, Phoenix, AZ 85020-3991. The current status is inactive.
Licensee Name | KYLE ABRAHAM ROTH |
Credential ID | 1392214 |
Credential Number | 10.139071-TEMP |
Credential Type | Registered Nurse - Temporary |
Credential SubCategory | TEMP |
Business Address |
1747 E Northern Ave Unit 204 Phoenix AZ 85020-3991 |
Business Type | INDIVIDUAL |
Status | INACTIVE - INACTIVE |
Issue Date | 2016-12-05 |
Effective Date | 2016-12-05 |
Expiration Date | 2017-04-03 |
Refresh Date | 2017-04-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1392115 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
Street Address | 1747 E NORTHERN AVE UNIT 204 |
City | PHOENIX |
State | AZ |
Zip Code | 85020-3991 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Monica Holmberg | 1111 E. Myrtle Ave, Phoenix, AZ 85020 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Meenakshi Pandit | 2315 E Orangewood Avenue, Phoenix, AZ 85020 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Hunt Construction Group Inc | 7720 N 16th St, Phoenix, AZ 85020 | Major Contractor | 2019-07-01 ~ 2020-06-30 |
Kara Saliba | 1329 East Golden Lane, Phoenix, AZ 85020 | Emergency Medical Technician | ~ |
Laura Phillips | 7601 North 10th St, Phoenix, AZ 85020 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
Barbara Benn | 8150 North Central Ave Unit #12, Phoenix, AZ 85020 | Licensed Practical Nurse | 2011-12-01 ~ 2012-11-30 |
Bernice P Kline | 8115 N 18th Street, Phoenix, AZ 85020 | Registered Nurse | 2011-09-01 ~ 2012-08-31 |
Donna M Probasco | 1228 E Royal Palm Road, Phoenix, AZ 85020 | Registered Nurse | 2011-05-01 ~ 2012-04-30 |
Anne E Enos | 8011 North 7th St, Phoenix, AZ 85020 | Registered Nurse | 1997-09-16 ~ 1998-10-31 |
Karen L Waters | 11231 N 11th Street, Phoenix, AZ 85020 | Registered Nurse | 2007-04-27 ~ 2008-06-30 |
Find all Licenses in zip 85020 |
City | PHOENIX |
Zip Code | 85020 |
License Type | Registered Nurse - Temporary |
License Type + County | Registered Nurse - Temporary + PHOENIX |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alex Abraham | 1 Marion Ct, Pomona, NY 10970 | Registered Nurse - Temporary | 2016-07-09 ~ 2016-11-05 |
Laura Abraham | 750 E Broadway Apt C1, Long Beach, NY 11561-4792 | Registered Nurse - Temporary | 2014-09-05 ~ 2015-01-02 |
Sherin Abraham | 18 Rumbrook Road, Elmsford, NY 10523 | Registered Nurse - Temporary | 2015-06-18 ~ 2015-10-15 |
Kyle D Ferverda | 260 Highway 462 Nw, Corydon, IN 47112-6539 | Registered Nurse - Temporary | 2014-02-27 ~ 2014-06-26 |
Kyle Garrow | 366 Fm 1488, Conroe, TX 77384 | Registered Nurse - Temporary | 2018-08-31 ~ 2018-12-28 |
Teklu Abraham Woldemichael | 2955 Grand Concourse Apt B23, Bronx, NY 10468-1436 | Temporary Permit To Practice Pharmacy | 2008-11-04 ~ 2009-02-04 |
Kyle A Roth | 95 Tomlinson Ave, Plainville, CT 06062-2929 | Electrical Unlimited Journeyperson | 2020-01-02 ~ 2020-09-30 |
Roger Roth · Roth Remodeling | 121 Connecticut Ave, Norwalk, CT 06854-1523 | Emergency Medical Technician | 2018-02-21 ~ 2022-01-01 |
Kyle S. Puchalsky | 30 Orchard St, East Hartford, CT 06108-2122 | Licensed Practical Nurse - Temporary | 2012-01-09 ~ 2012-05-08 |
Michael Roth · Michael Roth Carpentry | 1 Marshall Place, Branford, CT 06405 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
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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).