BRENDA SHEPPARD (Credential# 1681330) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is August 5, 2019. The license expiration date date is December 3, 2019. The license status is INACTIVE.
BRENDA SHEPPARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.163338-TEMP. The credential type is registered nurse - temporary. The effective date is August 5, 2019. The expiration date is December 3, 2019. The business address is 145 Pike Dr, Ellerslie, GA 31807-5527. The current status is inactive.
| Licensee Name | BRENDA SHEPPARD |
| Credential ID | 1681330 |
| Credential Number | 10.163338-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
145 Pike Dr Ellerslie GA 31807-5527 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2019-08-05 |
| Effective Date | 2019-08-05 |
| Expiration Date | 2019-12-03 |
| Refresh Date | 2019-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1677186 | 10 | Registered Nurse | - | PENDING |
| Street Address | 145 PIKE DR |
| City | ELLERSLIE |
| State | GA |
| Zip Code | 31807-5527 |
| City | ELLERSLIE |
| Zip Code | 31807 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + ELLERSLIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gale A Sheppard | 714 S Cherokee St, Jonesborough, TN 37659-1159 | Registered Nurse - Temporary | 2014-06-19 ~ 2014-10-16 |
| Vernia Sheppard | 1000 Smith Level Rd, Carrboro, NC 27510 | Registered Nurse - Temporary | 2013-10-09 ~ 2014-02-05 |
| Angel L Sheppard | 12043 Cypress Ridge Dr, Geismar, LA 70734-3291 | Registered Nurse - Temporary | 2017-03-02 ~ 2017-06-29 |
| Brenda Lee Muniz | Po Box 551, Fred, TX 77676 | Registered Nurse - Temporary | 2015-05-13 ~ 2015-09-09 |
| Brenda L Tripp | 36 Old Pocasset Rd, Johnston, RI 02919-3110 | Registered Nurse - Temporary | 2010-03-17 ~ 2010-07-15 |
| Brenda Yawn | 201 Madden Rd, Purvis, MS 39475-3651 | Registered Nurse - Temporary | 2009-11-12 ~ 2010-03-12 |
| Brenda C Capo | 514 Pilgrim Ct Apt D, Johnson City, TN 37601-7224 | Registered Nurse - Temporary | 2012-07-10 ~ 2012-11-07 |
| Brenda L Dickinson | 235 Town Colony Dr, Middletown, CT 06457-5904 | Registered Nurse - Temporary | 2010-07-22 ~ 2010-11-19 |
| Brenda H Pate | 7369 Elmwood Ave, Philadelphia, PA 19153-1425 | Registered Nurse - Temporary | 2013-12-04 ~ 2014-04-02 |
| Brenda K Tashiro | 2628 22nd Ave, Greeley, CO 80631-8244 | Registered Nurse - Temporary | 2013-12-07 ~ 2014-04-05 |
Please comment or provide details below to improve the information on BRENDA SHEPPARD.
| 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).