KIMBERLY GOBER TANNER (Credential# 1396141) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is January 3, 2017. The license expiration date date is May 2, 2017. The license status is INACTIVE.
KIMBERLY GOBER TANNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.139518-TEMP. The credential type is registered nurse - temporary. The effective date is January 3, 2017. The expiration date is May 2, 2017. The business address is 9450 Pineview Rd, Dora, AL 35062-1727. The current status is inactive.
| Licensee Name | KIMBERLY GOBER TANNER |
| Credential ID | 1396141 |
| Credential Number | 10.139518-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
9450 Pineview Rd Dora AL 35062-1727 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2017-01-03 |
| Effective Date | 2017-01-03 |
| Expiration Date | 2017-05-02 |
| Refresh Date | 2017-05-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1396011 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 9450 PINEVIEW RD |
| City | DORA |
| State | AL |
| Zip Code | 35062-1727 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clinton B Stewart | 200 Parr Parkway, Dora, AL 35062 | Professional Engineer | 2009-02-09 ~ 2010-01-31 |
| City | DORA |
| Zip Code | 35062 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + DORA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara E Gober | 6 Bestor Lane, Bloomfield, CT 06002 | Registered Nurse | 2004-06-30 ~ 2005-08-31 |
| Leah Gober | 393 Hope Hill Rd, Yalesville, CT 06492 | Registered Nurse | 2012-09-01 ~ 2013-08-31 |
| Angela Lynette Gober | 1537 Edmondshire Dr Apt 95, Memphis, TN 38134-4909 | Registered Nurse | 2019-12-23 ~ 2020-09-30 |
| Benjamin Oglesby | 238 Sarah Way, Kimberly, AL 35091-3201 | Registered Nurse - Temporary | 2019-09-24 ~ 2020-01-22 |
| Kimberly M Leong | 10a Crandall Ln, Ashaway, RI 02804-2214 | Registered Nurse - Temporary | 2017-05-09 ~ 2017-09-05 |
| Kimberly J Chatman | 115 Lang Dr, Fayetteville, GA 30214-3899 | Registered Nurse - Temporary | 2020-04-22 ~ 2020-08-20 |
| Paulo Villanueva | 31 Kimberly Ln, Watertown, CT 06795-3156 | Registered Nurse - Temporary | 2020-06-04 ~ 2020-10-02 |
| Kimberly Giordano | 104 Denniston Dr, New Windsor, NY 12553 | Registered Nurse - Temporary | 2016-12-19 ~ 2017-04-17 |
| Kimberly A Bates | 47 Broad St Apt A13, Westfield, MA 01085-2949 | Registered Nurse - Temporary | 2019-04-26 ~ 2019-08-24 |
| Kimberly K Clark | 12 Gilmore St, Potsdam, NY 13676-2301 | Registered Nurse - Temporary | 2012-07-24 ~ 2012-11-21 |
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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).