REBEKAH MICHELLE BROCKELBANK (Credential# 1605443) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
REBEKAH MICHELLE BROCKELBANK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.156239. The credential type is registered nurse. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 5611 County Road 9420, West Plains, MO 65775. The current status is active.
| Licensee Name | REBEKAH MICHELLE BROCKELBANK |
| Credential ID | 1605443 |
| Credential Number | 10.156239 |
| Credential Type | Registered Nurse |
| Business Address |
5611 County Road 9420 West Plains MO 65775 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-14 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1607028 | 10.155147-TEMP | Registered Nurse - Temporary | 2018-10-11 | 2018-10-11 - 2019-02-07 | INACTIVE |
| Street Address | 5611 County Road 9420 |
| City | West Plains |
| State | MO |
| Zip Code | 65775 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael A Ball | 601 Sierra Drive, West Plains, MO 65775 | Fire Protection Unlimited Journeyperson | 2019-11-03 ~ 2020-10-31 |
| Taghogho Agarin | 2121 Cambridge Dr, West Plains, MO 65775 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Demuria | 5522 Private Road 8072, West Plains, MO 65775 | Perfusionist | 2008-07-01 ~ 2009-07-31 |
| Savanna Johnson | 902 W Broadway St # 311, West Plains, MO 65775-2373 | Licensed Practical Nurse | 2018-10-01 ~ 2019-09-30 |
| Corrie A Cast | 613 Shuttee St, West Plains, MO 65775-2907 | Registered Nurse | 2012-01-03 ~ 2013-01-31 |
| Adrienne N. Waterson | 8677 County Road 6890, West Plains, MO 65775-5166 | Registered Nurse | 2014-10-14 ~ 2015-03-31 |
| City | West Plains |
| Zip Code | 65775 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + West Plains |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebekah Patton | 105 Dunham St, Norwich, CT 06360 | Registered Nurse | ~ |
| Rebekah R Klarberg | 740 W Wisconsin Ave, Milwaukee, WI 53233 | Registered Nurse | 2007-03-22 ~ 2008-05-31 |
| Rebekah Delvecchio | 192 South Whittlesey Ave, Walingford, CT 06492 | Registered Nurse | ~ |
| Rebekah G Segarra | 30 Charlene Dr, Naugatuck, CT 06770-2243 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Rebekah Sawyer | 12 Dara Ln, Suffield, CT 06078-2370 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Rebekah A Foote | 1 Roberts Dr, Bethel, CT 06801-1625 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Rebekah R Erhabor | 28 Chapin Rd, New Milford, CT 06776-3834 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Rebekah Sousa | 185 Northridge Dr, Middlebury, CT 06762 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Rebekah L Silverthorn | 18609 Duluth St, Farmington, MN 55024-7092 | Registered Nurse | ~ |
| Rebekah L Shutt | Rt 1 Box 274a, Hindsville, AR 72738 | Registered Nurse | ~ 1997-02-28 |
Please comment or provide details below to improve the information on REBEKAH MICHELLE BROCKELBANK.
| 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).