JACOB L PEPPER (Credential# 1521160) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is June 7, 2018. The license expiration date date is October 4, 2018. The license status is INACTIVE.
JACOB L PEPPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.150874-TEMP. The credential type is registered nurse - temporary. The effective date is June 7, 2018. The expiration date is October 4, 2018. The business address is 616 Virginia St, Idaho Springs, CO 80452. The current status is inactive.
| Licensee Name | JACOB L PEPPER |
| Credential ID | 1521160 |
| Credential Number | 10.150874-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
616 Virginia St Idaho Springs CO 80452 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2018-06-07 |
| Effective Date | 2018-06-07 |
| Expiration Date | 2018-10-04 |
| Refresh Date | 2018-10-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1519905 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 616 VIRGINIA ST |
| City | IDAHO SPRINGS |
| State | CO |
| Zip Code | 80452 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mother Lode Brewery LLC · Tommyknocker Brewery | 1401 Miner Street, Idaho Springs, CO 80452 | Out of State Shipper Beer | 2010-01-08 ~ 2011-01-07 |
| Alisha Nicole Pepper | Po Box 152, Idaho Springs, CO 80452-0152 | Registered Nurse - Temporary | 2018-06-07 ~ 2018-10-04 |
| Nicholas H Goymerac | Po Box 1140, Idaho Springs, CO 80452-1140 | Registered Nurse | 2009-02-03 ~ 2010-02-28 |
| Mary M Himschoot | 599 Soda Creek Rd, Idaho Springs, CO 80452-9502 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| City | IDAHO SPRINGS |
| Zip Code | 80452 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + IDAHO SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Autumn Cobbs | 11420 Pepper Ln, Beaumont, CA 92223-7440 | Registered Nurse - Temporary | 2013-12-06 ~ 2014-04-04 |
| Alisha Nicole Pepper | Po Box 152, Idaho Springs, CO 80452-0152 | Registered Nurse - Temporary | 2018-06-07 ~ 2018-10-04 |
| Diana B Costa | 24 Jacob Rd, Windham, NH 03087-4409 | Registered Nurse - Temporary | 2017-12-13 ~ 2018-04-11 |
| Jacob William Davis | 5707 Q Ave, Kearney, NE 68847 | Registered Nurse - Temporary | 2017-10-17 ~ 2018-02-13 |
| Jacob Edward Young | 112 Quail Run Dr., Calhoun, GA 30701 | Registered Nurse - Temporary | 2019-04-15 ~ 2019-08-13 |
| Jacob Spencer Gajewski | 823 Woolwick Ct, Saint Charles, MO 63304-6944 | Registered Nurse - Temporary | 2017-09-06 ~ 2018-01-03 |
| Jacob Ryan Garcia | 17803 La Cantera Ter Apt 12218, San Antonio, TX 78256-2549 | Registered Nurse - Temporary | 2020-04-09 ~ 2020-08-07 |
| Jacob Weis | 7112 S 228th East Ave, Broken Arrow, OK 74014-2426 | Registered Nurse - Temporary | 2020-05-07 ~ 2020-09-04 |
| Pepper Drive | 26 Pepper Drive, Torrington, CT 06790 | Community Living Arrangement | 2019-02-01 ~ 2021-01-31 |
| John P Pepper · Pamela A Pepper | 506 Oak Ave #10, Cheshire, CT 06410 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
Please comment or provide details below to improve the information on JACOB L PEPPER.
| 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).