SHAUNTAVIA MCCULLOUGH (Credential# 1441687) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
SHAUNTAVIA MCCULLOUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.147333. The credential type is registered nurse. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is 4 Laws Ln, Piedmont, SC 29673-8178. The current status is inactive.
| Licensee Name | SHAUNTAVIA MCCULLOUGH |
| Credential ID | 1441687 |
| Credential Number | 10.147333 |
| Credential Type | Registered Nurse |
| Business Address |
4 Laws Ln Piedmont SC 29673-8178 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-12-20 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1445464 | 10.144438-TEMP | Registered Nurse - Temporary | 2017-08-28 | 2017-08-28 - 2017-12-25 | INACTIVE |
| Street Address | 4 LAWS LN |
| City | PIEDMONT |
| State | SC |
| Zip Code | 29673-8178 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric A Mencken | 7 Carversham Row, Piedmont, SC 29673 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| William R Lenker Jr | 206 Monroe Drive, Piedmont, SC 29673 | Professional Engineer | 2012-04-29 ~ 2013-01-31 |
| Steve L Childress | 112 Dill Dr, Piedmont, SC 29673 | Crane Operator | 1994-05-12 ~ 1996-05-11 |
| Teresa Noel Bowen | 101 Bagwell Dr., Piedmont, SC 29673 | Registered Nurse - Temporary | 2016-10-21 ~ 2017-02-17 |
| J Harold Tuck | 116 Ravenwood Circle, Piedmont, SC 29673 | Professional Engineer | 2004-02-01 ~ 2005-01-31 |
| Divatex Home Fashions Inc | 280 Griffin Rd, Piedmont, SC 29673 | Manufacturer of Bedding & Upholstered Furniture | 2009-05-01 ~ 2010-04-30 |
| Christie M Hammitt | 101 Mirinda Ln, Piedmont, SC 29673-9092 | Registered Nurse - Temporary | 2014-01-02 ~ 2014-05-01 |
| Alice M O'handley | 124 Wrenfield Ct, Piedmont, SC 29673-9701 | Licensed Practical Nurse | 1997-07-31 ~ 1998-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Asif Anwar | 15 Littlewood Dr, Piedmont, CA 94611-3540 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Drivetime, Inc. | 110 Woodland Way, Piedmont, CA 94611-3840 | Securities - Exemptions | 2020-02-10 ~ |
| Amanda Hester Burcham | 2445 Cove Road, Piedmont, AL 36272 | Registered Nurse | 2020-01-02 ~ 2021-01-31 |
| Glenn M Boyce | 77 Manor Dr, Piedmont, CA 94611-4143 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Tlalliaztlan E Moya-smith | 379 Moraga Ave, Piedmont, CA 94611-3927 | Emergency Medical Technician | ~ |
| Kimberly Dawn Davidson | 321 Washington Avenue, Piedmont, OK 73078-8901 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Simone C Hyman | 69 Olive Ave, Piedmont, CA 94611-4427 | Emergency Medical Technician | ~ |
| Daniel W Groeneweg Aprn | 14319 Eagle Ridge Trl, Piedmont, SD 57769-7219 | Advanced Practice Registered Nurse | 2014-03-01 ~ 2015-02-28 |
| Caroline A Truesdell | 156 Nova Dr, Piedmont, CA 94610-1040 | Engineer-in-training | 2013-10-08 ~ 2023-10-08 |
| Gregory B Putnam | 238 Lasalle Ave, Piedmont, CA 94610 | Architect | 1999-08-01 ~ 2000-07-31 |
| Find all Licenses in PIEDMONT | |||
| City | PIEDMONT |
| Zip Code | 29673 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + PIEDMONT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| R A Mccullough Inc | 120 South Killingly Rd, Foster, RI 02825 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Daniel J Mccullough · Mccullough Electric | 70 Nash Lane, Bridgeport, CT 06605 | Electrical Unlimited Contractor | 2019-10-18 ~ 2020-09-30 |
| Brittany M Mccullough | 88 Tara Dr, Torrington, CT 06790-3016 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Lisa D Mccullough | 40 Surrey Ln, Windsor, CT 06095-2336 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Carrie Mccullough | 15 Cross Rd, Madison, CT 06443 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Walter R Mccullough Jr. | 312-t Schillinger Rd. S, Mobile, AL 36608 | Registered Nurse | 2006-05-11 ~ 2007-05-31 |
| Susan B Mccullough | 525 Broadway Ave., Apt. 105, Tacoma, WA 98402 | Registered Nurse | 2014-05-01 ~ 2015-04-30 |
| Sharon E Mccullough | 60 Circle Dr, Wallingford, CT 06492-1732 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Laura J Mccullough | Po Box 21457, Alberta, T8V 6W7 | Registered Nurse | 2010-07-01 ~ 2011-06-30 |
| Ann Mccullough | 312-t Schillinger Road S., Mobile, AL 06608 | Registered Nurse | 2006-07-24 ~ 2007-09-30 |
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| 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).