STEPHANIE SMITH (Credential# 1630583) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 19, 2019. The license expiration date date is September 30, 2019. The license status is INACTIVE.
STEPHANIE SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.159409. The credential type is registered nurse. The effective date is March 19, 2019. The expiration date is September 30, 2019. The business address is 3880 Stockton Hill Rd Ste 103-175, Kingman, AZ 86409. The current status is inactive.
| Licensee Name | STEPHANIE SMITH |
| Credential ID | 1630583 |
| Credential Number | 10.159409 |
| Credential Type | Registered Nurse |
| Business Address |
3880 Stockton Hill Rd Ste 103-175 Kingman AZ 86409 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2019-03-19 |
| Effective Date | 2019-03-19 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1631463 | 10.158322-TEMP | Registered Nurse - Temporary | 2019-02-11 | 2019-02-11 - 2019-06-11 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Smith · Levine | 259 Yellow Church Rd, Little Falls, NY 13365-3826 | Hairdresser/cosmetician | 2020-02-01 ~ 2022-01-31 |
| Stephanie Smith | 2706 Mill Pond Dr, South Windsor, CT 06074 | Notary Public Appointment | 1990-12-01 ~ 1995-03-31 |
| Stephanie Smith | 40 Woodstock Dr., Manchester, CT 06040 | Family Child Care Substitute | 1996-09-30 ~ 1996-09-30 |
| Stephanie Smith | 53 Shelburne Way, Glastonbury, CT 06033-2753 | Bingo Operator | 2012-01-26 ~ |
| Stephanie Smith | 39 Lindeman Dr., Trumbull, CT 06611 | Medication Administration Certification | 2017-06-20 ~ 2019-06-19 |
| Stephanie Smith | 151 Sheldon Road, Manchester, CT 06042 | Medication Administration Certification | 2014-01-01 ~ 2015-12-31 |
| Street Address | 3880 Stockton Hill Rd Ste 103-175 |
| City | Kingman |
| State | AZ |
| Zip Code | 86409 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda J Butler | 3880 Stockton Hill Rd # 103-159, Kingman, AZ 86409-0595 | Registered Nurse | ~ |
| Lisa Anne Spann | 1041 Astor Ave Apt 1, Kingman, AZ 86409-3903 | Registered Nurse | 2011-02-01 ~ 2012-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael T Moore | Po Box 6056, Kingman, AZ 86402-6056 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Geoffrey Lane Schroder | 1732 Motor Ave, Kingman, AZ 86401 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| New Life Clinics | 5536 N. Copper Canyon Wy, Kingman, AZ 86401 | Public Charity | 2007-06-01 ~ 2008-05-31 |
| Carol E Tarquinio | 600 Rawhide Dr, Kingman, AZ 86401-7285 | Physical Therapist | 2013-03-12 ~ 2014-02-28 |
| Vincent N Miles Md | 7849 S Hawk Rd, Kingman, AZ 86401-4774 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael J Stagner | 390 Greenway Dr, Kingman, AZ 86401-3965 | Physician/surgeon | 2011-05-20 ~ 2012-03-31 |
| Phyllis R Jordan | 1841 Davis Ave, Kingman, AZ 86401 | Licensed Practical Nurse | 1998-01-14 ~ 1999-02-28 |
| Cristita E Nagsuban · Strera | 3350 Harrison Street, Kingman, AZ 86401 | Registered Nurse | 1996-09-26 ~ 1997-10-31 |
| Jeanette R Eakerns | 960 Palo Verde Drive, Kingman, AZ 86104 | Registered Nurse | 2006-04-03 ~ 2007-03-31 |
| Tasha R Inturrisi · Gibson | 2365 Northfield Avenue, Kingman, AZ 86401 | Licensed Practical Nurse | 2005-09-02 ~ 2006-08-31 |
| Find all Licenses in Kingman | |||
| City | Kingman |
| Zip Code | 86409 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Kingman |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie R Smith | 240 Kohary Dr, New Haven, CT 06515 | Registered Nurse | 2002-02-21 ~ 2003-02-28 |
| Stephanie A Smith | 95 Ketcham Ave, Amityville, NY 11701 | Registered Nurse | 2014-10-01 ~ 2015-09-30 |
| Stephanie J. Smith | 293 W Main St, Milford, CT 06460-2551 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Stephanie L Smith | 53 Briarwood Dr, Windsor, CT 06095-3936 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Stephanie A Smith | 118 Gale Avenue, Meriden, CT 06450 | Registered Nurse | 2000-11-03 ~ 2001-10-31 |
| Stephanie P Smith | 232 Amos White Rd, Southbury, CT 06488-2103 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Stephanie L Martinez | 14113 Mel Smith Rd Ne, Albuquerque, NM 87123-2219 | Registered Nurse | 2015-04-01 ~ 2016-04-30 |
| Stephanie Marie Smith | 709 Antietam Dr, Douglassville, PA 19518-8757 | Registered Nurse | 2019-11-01 ~ 2020-11-30 |
| Stephanie R Smith Sullivan | 41 John St Apt 2a, New York, NY 10038-3715 | Registered Nurse | 2017-02-01 ~ 2018-01-31 |
| Stephanie G Knutson · Smith | 35 Satari Drive, Coventry, CT 06238 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on STEPHANIE SMITH.
| 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).