KETEVAN MIKAUTADZE (Credential# 1403413) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 29, 2017. The license expiration date date is May 31, 2017. The license status is INACTIVE.
KETEVAN MIKAUTADZE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.141272. The credential type is registered nurse. The effective date is March 29, 2017. The expiration date is May 31, 2017. The business address is 177 W End Ave Apt 3r, Brooklyn, NY 11235-4819. The current status is inactive.
| Licensee Name | KETEVAN MIKAUTADZE |
| Credential ID | 1403413 |
| Credential Number | 10.141272 |
| Credential Type | Registered Nurse |
| Business Address |
177 W End Ave Apt 3r Brooklyn NY 11235-4819 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-03-29 |
| Effective Date | 2017-03-29 |
| Expiration Date | 2017-05-31 |
| Refresh Date | 2017-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1412242 | 10.140908-TEMP | Registered Nurse - Temporary | 2017-03-15 | 2017-03-15 - 2017-03-29 | INACTIVE |
| Street Address | 177 W END AVE APT 3R |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-4819 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Mikhailov | 3111 Ocean Parkway, Brooklyn, NY 11235 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Liubomyr Kashuba | 2717 E 28 St Apt 1g, Brooklyn, NY 11235 | Asbestos Abatement Worker | 2020-04-01 ~ 2021-03-31 |
| Ying Cheng | 2527 E. 18th Street, Brooklyn, NY 11235 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Edward A Kulich | 1601 Voorhies Ave 2nd Fl, Brooklyn, NY 11235 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Igor Gendler | 415 Brighton Beach Ave, Brooklyn, NY 11235 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Danielle Erika Smilowitz | 2524 East 26th Street, Brooklyn, NY 11235 | Radiographer | ~ |
| Leonid Krupnik | 2461 East 29th Street, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Yevgeniy Goldengur | 721 Desmond Court, Brooklyn, NY 11235 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| David Merabyan | 2536 E 11th Street, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Erdem Dogan | 65 Oriental Blvd Apt #8-g, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11235 | |||
| City | BROOKLYN |
| Zip Code | 11235 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ketevan Beltadze | 71 Strawberry Hill Ave. Apt. 408, Stamford, CT 06902 | Registered Nurse | 2017-10-06 ~ 2018-01-31 |
| Ketevan Kuprashvili | 14 Stage Harbor Rd, Marlborough, CT 06447-1114 | Hairdresser/cosmetician | 2018-07-01 ~ 2020-06-30 |
| Ketevan Kiguradze Dds | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Ketevan N Gvalia | 170 W. Polk St. Apt. 1007, Chicago, IL 60605 | Controlled Substance Registration for Practitioner | ~ |
| Roshiny Achiamma Alex | Post Box 5254,registered Nurse, Abudhabi | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Nydia I Lugaro | S Main St C/o Nurse Network 653, Plantsville, CT 06479-1549 | Registered Nurse | ~ |
| April Tan | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Michele C Rose · Martin | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2008-12-05 ~ 2009-12-31 |
| Caryn S Nurse | 4159 Palm Dr, Snellville, GA 30039-3323 | Registered Nurse - Temporary | 2012-02-29 ~ 2012-06-28 |
| Sherrie-lynn Nurse | Avalon Walk Apts, Hamden, CT 06518 | Registered Nurse | ~ 1998-02-28 |
Please comment or provide details below to improve the information on KETEVAN MIKAUTADZE.
| 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).