JACEN T KNOWLTON (Credential# 1614376) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JACEN T KNOWLTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007979. The credential type is advanced practice registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 2653 W. Ivanhoe Street, Chandler, AZ 85224. The current status is active.
| Licensee Name | JACEN T KNOWLTON |
| Credential ID | 1614376 |
| Credential Number | 12.007979 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
2653 W. Ivanhoe Street Chandler AZ 85224 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-20 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1328290 | 10.131798 | Registered Nurse | 2016-02-03 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 1616039 | CSP.0069891 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-11-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1328483 | 10.131404-TEMP | Registered Nurse - Temporary | 2016-01-12 | 2016-01-12 - 2016-05-10 | INACTIVE |
| Street Address | 2653 W. Ivanhoe Street |
| City | Chandler |
| State | AZ |
| Zip Code | 85224 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeanne M Vosika | 1439 N. Ellis Street, Chandler, AZ 85224 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Peter A Del Pietro | 1825 W Roy Rd #2036, Chandler, AZ 85224 | Real Estate Salesperson | 2000-06-01 ~ 2001-05-31 |
| Karen L Nixon | 2019 W Lemon Tree Place, Chandler, AZ 85224 | Licensed Practical Nurse | 2011-05-01 ~ 2012-04-30 |
| Mark Allen Rudow | 2505 N Barrow Ct, Chandler, AZ 85224 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Joy A Jackson | 2727 N Price Rd #40, Chandler, AZ 85224 | Registered Nurse | 2010-02-01 ~ 2011-01-31 |
| Timothy A Tracy | 705 W Curry, Chandler, AZ 85224 | Registered Nurse | 1993-08-25 ~ 1994-05-31 |
| Melody B Gallo | 1890 N Iowa St, Chandler, AZ 85224 | Hairdresser/cosmetician | 1998-06-11 ~ 1999-06-30 |
| Gretchen Hogg | 635 S Ellis St, Chandler, AZ 85224 | Registered Nurse | 1978-09-15 ~ 1979-08-31 |
| Sobha Krishnakumar | 1681 W Jupiterway, Chandler, AZ 85224 | Registered Nurse | 2007-07-23 ~ 2008-05-31 |
| Dominique J Villafane · Leveque | 1540 West Cindy St, Chandler, AZ 85224 | Licensed Practical Nurse | 2006-10-16 ~ 2007-11-30 |
| Find all Licenses in zip 85224 | |||
| City | Chandler |
| Zip Code | 85224 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Chandler |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gordon P Kempe | Po Box 277, Sanbornton, NH 03269 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-06-30 |
| Yan Chen | 326 Mountain Rd, Wilton, CT 06897-1532 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Terry L Conrad | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Erin R Swiggum | Po Box 129, La Farge, WI 54639-0129 | Advanced Practice Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Barbara J Voskowsky | Po Box 431, Granby, CT 06035-0431 | Advanced Practice Registered Nurse | 2011-08-01 ~ 2012-07-31 |
| Robert S Simkins | 466 N Salina St Apt 7, Syracuse, NY 13203-1837 | Advanced Practice Registered Nurse | ~ |
| Lauren M Vo | 9 Cardinal Rd, Simsbury, CT 06070-1141 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kristin Lee | 516 Kilburn Ct, Franklin, TN 37067-1371 | Advanced Practice Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Effiem Obasi | 143 Longwood Ave, Providence, RI 02908-1121 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on JACEN T KNOWLTON.
| 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).