KELLIE JASMINE FOXWORTH (Credential# 1425057) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2019. The license expiration date date is September 30, 2019. The license status is INACTIVE.
KELLIE JASMINE FOXWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.157772. The credential type is registered nurse. The effective date is January 17, 2019. The expiration date is September 30, 2019. The business address is 128 Charles Rd, Marion, SC 29571-6493. The current status is inactive.
| Licensee Name | KELLIE JASMINE FOXWORTH |
| Credential ID | 1425057 |
| Credential Number | 10.157772 |
| Credential Type | Registered Nurse |
| Business Address |
128 Charles Rd Marion SC 29571-6493 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2019-01-17 |
| Effective Date | 2019-01-17 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1633579 | 12.008142 | Advanced Practice Registered Nurse | 2019-03-15 | 2019-03-15 - 2019-09-30 | INACTIVE |
| 1429746 | 10.142521-TEMP | Registered Nurse - Temporary | 2017-06-07 | 2017-06-07 - 2017-10-04 | INACTIVE |
| Street Address | 128 CHARLES RD |
| City | MARION |
| State | SC |
| Zip Code | 29571-6493 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gloria G Pittman | 2369 Ellis Rd, Marion, SC 29571 | Registered Nurse | 2008-06-30 ~ 2009-08-31 |
| Marisa M Showler | 404 Arch St, Marion, SC 29571-3130 | Registered Nurse | 2014-03-01 ~ 2015-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Cook Shepard | 600 Holman Rd, Marion, TX 78124-4022 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Betty R Cadore | 206 E Early St, Marion, AL 36756-2514 | Licensed Practical Nurse | 2018-09-01 ~ 2019-08-31 |
| Georgiann C Gallagher | 60 Farmingberry Drive, Marion, CT 06444 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Thanh Thi Ho | 2172 Meriden Waterbury Tpke, Marion, CT 06444-0110 | Nail Technician | ~ |
| Edward L Jamele Jr | 2772 Meriden Waterbury Road, Marion, CT 06444 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Manya E Vumback | Po Box 111, Marion, CT 06444 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Thomas Dellabitta | Po Box 8, Marion, CT 06444 | Notary Public Appointment | 2020-06-11 ~ 2025-06-30 |
| Nicholas Dainiak Jr | Po Box190, Marion, CT 06444 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Denise A Kupstis | 1180 Marion Ave., Marion, CT 06444-0056 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kristina Starr Amerman | 385 Saddleback Rd, Marion, IA 52302-4827 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in MARION | |||
| City | MARION |
| Zip Code | 29571 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + MARION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cindee R Knopp | 890 Foxworth Blvd, Lombard, IL 60148 | Registered Nurse | 1992-04-24 ~ 1993-03-31 |
| Diane Foxworth | 7 F Country Squire Rd, Cromwell, CT 06416-2595 | Registered Nurse | 2013-06-01 ~ 2014-05-31 |
| Lauren Foxworth | 205 Ridgefield Dr, Middletown, CT 06547 | Licensed Practical Nurse | 2010-03-01 ~ 2011-02-28 |
| Kellie Fisher | 94 Dam Rd, Dayville, CT 06241 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kellie L Mauterer | Po Box 687, Olla, LA 71465 | Registered Nurse | 2007-05-03 ~ 2008-05-31 |
| Kellie M Sullivan | 58 Longmeadow Rd, Shelton, CT 06484-2611 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Kellie Lynn Dodge | Po Box 271, Kellogg, IA 50135-0271 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kellie M Wreschner | 16 Larson Rd, Milford, MA 01757-3723 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kellie M Finch | 29r Woodland Dr, Durham, CT 06422-1513 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Kellie A. Merner | 88 Portland St, Lancaster, NH 03584-3309 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on KELLIE JASMINE FOXWORTH.
| 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).