SIERRA H BOULEM (Credential# 1422368) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SIERRA H BOULEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.143580. The credential type is registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3925 North Oak Street Ext, Valdosta, GA 31605. The current status is active.
| Licensee Name | SIERRA H BOULEM |
| Credential ID | 1422368 |
| Credential Number | 10.143580 |
| Credential Type | Registered Nurse |
| Business Address |
3925 North Oak Street Ext Valdosta GA 31605 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-25 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-31 |
| Street Address | 3925 North Oak Street Ext |
| City | Valdosta |
| State | GA |
| Zip Code | 31605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee M Pringle | 3705 Cambridge Drive, Valdosta, GA 31605 | Hairdresser/cosmetician | 1991-02-25 ~ 1994-01-31 |
| Joseph L Cornatzer | 3934 Wynnefield Drive, Valdosta, GA 31605 | Dentist | 2005-06-09 ~ 2006-07-31 |
| Billie W Hicks | 4237 Shadow Wood Dr, Valdosta, GA 31605 | Plumbing & Piping Unlimited Contractor | 2004-11-01 ~ 2005-10-31 |
| Katherine A Querin | 1120 N Lakeshore Dr, Valdosta, GA 31605-5916 | Emergency Medical Technician | 2015-03-11 ~ 2018-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Smith Drug Company Division of J M Smith Corporation | 1500 Commerce Dr, Valdosta, GA 31601-1206 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| William K Touchton | 3930 Fender Rd, Valdosta, GA 31601-0040 | Electrical Limited Contractor | ~ |
| Ansley Kathryn Taylor | 4502 Carter Way, Valdosta, GA 31601-0151 | Registered Nurse - Temporary | 2019-07-30 ~ 2019-11-27 |
| 1st American Infusion Services LLC · Advanced Infusion Care | 212 Northside Dr, Valdosta, GA 31602-1893 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Joe Ann M Simpson | 2701 Melrose Dr, Valdosta, GA 31602-2071 | Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Thomas L Gregory Jr | 2916 N Oak St, Valdosta, GA 31602-1718 | Architect | 2011-08-01 ~ 2012-07-31 |
| Lee S Kurrie | 204 E Cranford Ave, Valdosta, GA 31602-2907 | Registered Nurse - Temporary | 2013-01-14 ~ 2013-05-14 |
| Howard R Schweitzer Jr | 4957 Summit Ridge Rd, Valdosta, GA 31602-5013 | Pharmacist | 2011-02-01 ~ 2012-01-31 |
| Roberta Lewis | 4559 Plantation Crest Rd, Valdosta, GA 31602-4979 | Registered Nurse | 1965-02-18 ~ 1968-01-31 |
| Richard A Walker | 2522 Winnwood Cir, Valdosta, GA 31601 | Registered Nurse | 2001-09-27 ~ 2002-02-28 |
| Find all Licenses in Valdosta | |||
| City | Valdosta |
| Zip Code | 31605 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Valdosta |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gennettie Green · Green | 3011 Sierra Bermeja Dr, Sierra Vista, AZ 85650-4213 | Registered Nurse | 2010-11-01 ~ 2011-10-31 |
| Matthew R Boulem | 35 River Rd, Essex, CT 06426-1302 | Emergency Medical Technician | 2014-04-17 ~ 2017-07-01 |
| Robert Boulem | 35 River Rd, Essex, CT 06426-1302 | Emergency Medical Technician | 2018-07-31 ~ 2021-04-01 |
| Sierra Designs · Sierra Designs Acquistion | 1224 Fernridge Pkwy, St Louis, MO 63141 | Manufacturer of Bedding & Upholstered Furniture | 2004-05-01 ~ 2005-04-30 |
| Brandi Bandoquillo | 130 Sierra Cir, Woodstock, GA 30188-7410 | Registered Nurse | 2016-04-01 ~ 2017-04-30 |
| Sierra Sanders | 200 Sweetwater Dr Apt A12, Dothan, AL 36305-3217 | Registered Nurse | 2019-09-16 ~ 2020-01-31 |
| Izabella V Sierra | 10 Scotland Rd, Bloomfield, CT 06002 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Martha Harrell | 304 Sierra Pl Ne, Albuquerque, NM 87108-1139 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Catalina Sierra | 17 Caribou Way, Oakdale, CT 06370 | Registered Nurse | 2000-03-06 ~ 2001-04-30 |
| Margaret Anne Baz | 725 N Sierra Ct, Chandler, AZ 85226-1735 | Registered Nurse | 2010-10-18 ~ 2011-08-31 |
Please comment or provide details below to improve the information on SIERRA H BOULEM.
| 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).