VALERIE ANN BROADWATER (Credential# 1412058) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
VALERIE ANN BROADWATER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.142742. The credential type is registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 11845 Ih 10w, San Antonio, TX 78230. The current status is active.
| Licensee Name | VALERIE ANN BROADWATER |
| Credential ID | 1412058 |
| Credential Number | 10.142742 |
| Credential Type | Registered Nurse |
| Business Address |
11845 Ih 10w San Antonio TX 78230 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-19 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1413830 | 10.141138-TEMP | Registered Nurse - Temporary | 2017-03-24 | 2017-03-24 - 2017-07-21 | INACTIVE |
| Street Address | 11845 IH 10W |
| City | San Antonio |
| State | TX |
| Zip Code | 78230 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Venkata Praveen Mallina | 12330 Vance Jackson Rd, San Antonio, TX 78230 | Registered Nurse | ~ |
| Anthony Jesus Juarez | 13306 Heights Park, San Antonio, TX 78230 | Registered Nurse | 2018-03-01 ~ 2019-02-28 |
| Bexr Logistix LLC | 38505 Ih 10 West Ste# 1000, San Antonio, TX 78230 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
| Maria D Lucio | 12104 Mission Trace, San Antonio, TX 78230 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Mission Pharmacal Company | 10999 Ih 10 West, San Antonio, TX 78230 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2017-02-28 ~ |
| Warren R Jesser | 9859 Ihiow #227, San Antonio, TX 78230 | Real Estate Broker | ~ |
| Matthew C Wallace Md | 4330 Spectrum One, San Antonio, TX 78230 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Norine B Ouellette · Norine Ballantine | 3327 Old Forge Drive, San Antonio, TX 78230 | Dental Hygienist | ~ |
| Peggy A Walter | 10710 Lost Hilltop St, San Antonio, TX 78230 | Registered Nurse | 2009-03-31 ~ 2010-05-31 |
| Holly L Cirlin | 3622 Sugarhill Drive, San Antonio, TX 78230 | Registered Nurse | 2009-03-13 ~ 2010-04-30 |
| Find all Licenses in zip 78230 | |||
| City | San Antonio |
| Zip Code | 78230 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + San Antonio |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Broadwater | 1624 E 85th Pl, Chicago, IL 60617-2235 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ramdath Chandoo | 301 Broadwater Ct, Chesapeake, VA 23323-3814 | Electrical Unlimited Journeyperson | 2010-10-01 ~ 2011-09-30 |
| Alexander John Elahi | 429 Broadwater Road, Arnold, MD 21012 | Chiropractor | 2019-01-28 ~ 2019-09-30 |
| Valerie Manor | 1360 Torringford St, Torrington, CT 06790-3140 | Chronic & Convalescent Nursing Home | 2019-10-01 ~ 2021-09-30 |
| Cynthia J Peruzzi-broadwater | 161 West Rocks Road, Norwalk, CT 06850 | Physical Therapist Assistant | ~ 2006-11-01 |
| David Moline | 2250 Broadwater Drive, Papillion, NE 68046 | Certified Public Accountant Certificate | ~ |
| Valerie D David | 383 Elm Ave, Rahway, NJ 07065-3221 | Registered Nurse | ~ |
| Anne Caryn Broadwater | 1779 Asylum Ave., West Hartford, CT 06117 | Certified Public Accountant Certificate | ~ |
| Valerie Calzada | 3 Cobas Trl, San Antonio, TX 78256-1646 | Registered Nurse | ~ |
| Valerie E Flynn | P.o. Box 39-mo, Newport, RI 02840-0001 | Registered Nurse | 2009-01-05 ~ 2009-09-30 |
Please comment or provide details below to improve the information on VALERIE ANN BROADWATER.
| 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).