KELLY ANN BAUCOM (Credential# 1441489) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 15, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.
KELLY ANN BAUCOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.147231. The credential type is registered nurse. The effective date is December 15, 2017. The expiration date is November 30, 2018. The business address is 9116 Sw 51st Rd, Gainesville, FL 32608. The current status is inactive.
| Licensee Name | KELLY ANN BAUCOM |
| Credential ID | 1441489 |
| Credential Number | 10.147231 |
| Credential Type | Registered Nurse |
| Business Address |
9116 Sw 51st Rd Gainesville FL 32608 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-12-15 |
| Effective Date | 2017-12-15 |
| Expiration Date | 2018-11-30 |
| Refresh Date | 2019-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1444669 | 10.144344-TEMP | Registered Nurse - Temporary | 2017-08-23 | 2017-08-23 - 2017-12-20 | INACTIVE |
| Street Address | 9116 SW 51st RD |
| City | Gainesville |
| State | FL |
| Zip Code | 32608 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gee Su Yang | 5333 Sw. 75th Street, Apt 159, Gainesville, FL 32608 | Registered Nurse | ~ |
| Carl L Osberg | 3734 Sw 56th Rd, Gainesville, FL 32608 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Ravi Jaimini Patel | 4434 S W 91st Drive, Gainesville, FL 32608 | Physician/surgeon | 2020-01-27 ~ 2020-12-31 |
| Abel Valiente | 9138 Sw 90th St, Gainesville, FL 32608 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Tariq Nasir | 4444 Sw 102nd Dr, Gainesville, FL 32608 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Haiyan Wang | 8927 Sw 76th Ave, Gainesville, FL 32608 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Elaine S Hill | 2506 Sw 98th Drive, Gainesville, FL 32608 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Anthony J Hordos Md | 10000 Sw 52nd Avenue, Gainesville, FL 32608 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jeffrey Pearson | 8956 Sw 44th La, Gainesville, FL 32608 | Professional Engineer | 1995-02-06 ~ 1996-01-31 |
| Bodo & Assocs | 1812 Sw 42nd Ave, Gainesville, FL 32608 | Professional Engineer | 1991-01-28 ~ 1992-01-31 |
| Find all Licenses in zip 32608 | |||
| City | Gainesville |
| Zip Code | 32608 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Gainesville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Markiea Baucom-dolphy | 175 Devonwood Dr, Waterbury, CT 06708-2325 | Licensed Practical Nurse | 2020-03-11 ~ 2020-06-30 |
| Anne D Fleishell-kelly · Kelly | 68 Musket Ridge Rd, Wilton, CT 06897 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Maura E Kelly-sullivan · Kelly | 7698 Alta Cuesta, Cucamonga, CA 91730 | Registered Nurse | 1994-07-27 ~ 1995-07-31 |
| Barbara A Kelly-gibbs · Kelly | 2450 Cherry Blossom, Suffolk, VA 23434 | Registered Nurse | 2007-02-12 ~ 2008-03-31 |
| Earnest L Baucom | Po Box 1261, Valley, AL 36854 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kimberly Diane Baucom | 73 Beaver Dam Rd, Killingworth, CT 06419-1317 | Esthetician | 2020-03-05 ~ 2022-02-28 |
| Tyeisha Baucom | 22 West Porter St, Waterbury, CT 06708 | Medication Administration Certification | 2019-12-27 ~ 2021-12-27 |
| Carey A Kelly-feldman · Kelly | 25 Avery Court, New London, CT 06320 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| S M T Kelly LLC · Shawn Kelly Design Builder | 101 Princeton Dr, Huntington, CT 06484 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Kevin J Kelly · R Kelly & Son | 707 Norwich Ave, Colchester, CT 06415 | Home Improvement Contractor | 2000-12-18 ~ 2001-11-30 |
Please comment or provide details below to improve the information on KELLY ANN BAUCOM.
| 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).