KATINA GROOMES (Credential# 1650756) is licensed (Licensed Practical Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is April 23, 2019. The license expiration date date is August 21, 2019. The license status is INACTIVE.
KATINA GROOMES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.042333-TEMP. The credential type is licensed practical nurse - temporary. The effective date is April 23, 2019. The expiration date is August 21, 2019. The business address is 1102 N Friendship Ave, Donalsonville, GA 39845-1280. The current status is inactive.
| Licensee Name | KATINA GROOMES |
| Credential ID | 1650756 |
| Credential Number | 11.042333-TEMP |
| Credential Type | Licensed Practical Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
1102 N Friendship Ave Donalsonville GA 39845-1280 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2019-04-23 |
| Effective Date | 2019-04-23 |
| Expiration Date | 2019-08-21 |
| Refresh Date | 2019-08-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1650117 | 11 | Licensed Practical Nurse | - | PENDING |
| Street Address | 1102 N FRIENDSHIP AVE |
| City | DONALSONVILLE |
| State | GA |
| Zip Code | 39845-1280 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tammie Fonbah | 5756 Brackin Rd, Donalsonville, GA 39845 | Registered Nurse | 2019-11-04 ~ 2020-10-31 |
| City | DONALSONVILLE |
| Zip Code | 39845 |
| License Type | Licensed Practical Nurse - Temporary |
| License Type + County | Licensed Practical Nurse - Temporary + DONALSONVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katina L Baker | 175 Shell St, Bridgeport, CT 06605-2725 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Katina Stalter | 67 Corona Dr, Waterbury, CT 06708-1735 | Registered Nurse - Temporary | 2011-07-13 ~ 2011-11-10 |
| Katina Incorporated | 11 Maplewood Rd, Madison, CT 06443 | Home Improvement Contractor | ~ 1994-12-01 |
| Katina Danielle Bartolome | 2309 N Crossing Way, Decatur, GA 30033-4172 | Registered Nurse - Temporary | 2019-11-20 ~ 2020-03-19 |
| Lisa R Williams | Po Box 681, Garrison, TX 75946-0681 | Licensed Practical Nurse - Temporary | 2015-04-07 ~ 2015-08-04 |
| Benjamin W Jacobson | 77 Elm St, Meriden, CT 06450-5707 | Licensed Practical Nurse - Temporary | 2014-12-03 ~ 2015-04-01 |
| Tamala Lee | 11 Sidney Dr, Hattiesburg, MS 39401-9620 | Licensed Practical Nurse - Temporary | 2015-04-20 ~ 2015-08-17 |
| Elizabeth M Guy | 309 North Ave, New Rochelle, NY 10801-4112 | Licensed Practical Nurse - Temporary | 2014-09-23 ~ 2015-01-20 |
| India Moore | 815 Strawberry Ln, Brandon, FL 33511-7533 | Licensed Practical Nurse - Temporary | 2019-04-17 ~ 2019-08-15 |
| Tanzin Choekyi | 7 Lockwood Ln, Norwalk, CT 06851-5806 | Licensed Practical Nurse - Temporary | 2020-03-13 ~ 2020-07-11 |
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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).