AVERYL GLENDA BLAKE-FRAITES (Credential# 1435687) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
AVERYL GLENDA BLAKE-FRAITES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.146618. The credential type is registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 641 Sw 94th Terrace, Pembroke Pines, FL 33025. The current status is active.
| Licensee Name | AVERYL GLENDA BLAKE-FRAITES |
| Credential ID | 1435687 |
| Credential Number | 10.146618 |
| Credential Type | Registered Nurse |
| Business Address |
641 Sw 94th Terrace Pembroke Pines FL 33025 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1438912 | 10.143560-TEMP | Registered Nurse - Temporary | 2017-07-25 | 2017-07-25 - 2017-11-21 | INACTIVE |
| Street Address | 641 SW 94th Terrace |
| City | Pembroke Pines |
| State | FL |
| Zip Code | 33025 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Serena M Crosdale | 3050 E Missionwood Lane, Miramar, CT 33025 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Jonathan A Bray | 11553 Sw 26th Pl, Mirimar, FL 33025 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Dawn S Russell Md | 2360 E. Preserve Way, Miramar, FL 33025 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Prince Pierre | 3360 Kapot Terrace, Miramar, FL 33025 | Crane Operator Apprentice | 2012-04-18 ~ 2014-04-17 |
| Joshua P Powell | 1771 Sw 85th Terrace, Miramar, FL 33025 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Akosua A Freckleton | 8360 Missionwood Circle, Miramar, FL 33025 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
| Doctor Diabetic Supply, LLC | 3660 Enterprise Way, Miramar, FL 33025 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2013-07-01 ~ 2014-06-30 |
| Doreen C Smiley | 9611 North Hollybrook Lake Drive, Pembroke Pines, FL 33025 | Registered Nurse | 2012-09-01 ~ 2013-08-31 |
| Edith H Edwards | 9940 Sw 14 St, Pembroke Pines, FL 33025 | Registered Nurse | 1993-09-23 ~ 1994-10-31 |
| Anisa Ramji · Kemani | 8534 Sw 5th St, Pimbroke Pines, FL 33025 | Registered Nurse | 2005-02-22 ~ 2006-03-31 |
| Find all Licenses in zip 33025 | |||
| City | Pembroke Pines |
| Zip Code | 33025 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Pembroke Pines |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna M Blake · Blake | 59 Higgins Ave, Bridgeport, CT 06606 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jean A Blake | C/o Donald Blake, Brevard, NC 28712 | Registered Nurse | 1993-02-25 ~ 1994-02-28 |
| Glenda L Bailey | Elmira Rr#1, P.e.i., C0A1K0 | Registered Nurse | 2003-06-03 ~ 2004-06-30 |
| Lbf Blake St Convenience LLC · Blake St Convenience | 295 Blake St, New Haven, CT 06515-1295 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-05-15 ~ 2021-02-28 |
| Glenda T Lara | 268 Willard Ave, Newington, CT 06111-1234 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
| Glenda Laurente | 832 D. Street, Apt. 13, Sacramento, CA 95814 | Registered Nurse | 2005-02-18 ~ 2006-01-31 |
| Glenda J Pezolt | 401 S Uvalda St, Aurora, CO 80012-2412 | Registered Nurse | 2014-01-13 ~ 2014-11-30 |
| Glenda Alisha Pierce | 28 Medford Ct, Sicklerville, NJ 08081-2021 | Registered Nurse | ~ |
| Glenda A Hunt Mrs | Po Box 228, Silver Lake, NH 03875-0228 | Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Glenda M Milardo | 42 Morgan St, Middletown, CT 06457 | Registered Nurse | 2012-02-01 ~ 2013-01-31 |
Please comment or provide details below to improve the information on AVERYL GLENDA BLAKE-FRAITES.
| 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).