DENNIS LAVON MIDDLETON (Credential# 2041784) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is August 29, 2020. The license status is ACTIVE.
DENNIS LAVON MIDDLETON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.170553-TEMP. The credential type is registered nurse - temporary. The effective date is May 1, 2020. The expiration date is August 29, 2020. The business address is 662 Dry Branch Rd, Dixon Springs, TN 37057-5001. The current status is active.
| Licensee Name | DENNIS LAVON MIDDLETON |
| Credential ID | 2041784 |
| Credential Number | 10.170553-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
662 Dry Branch Rd Dixon Springs TN 37057-5001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2020-08-29 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2041520 | 10 | Registered Nurse | - | PENDING |
| Street Address | 662 DRY BRANCH RD |
| City | DIXON SPRINGS |
| State | TN |
| Zip Code | 37057-5001 |
| City | DIXON SPRINGS |
| Zip Code | 37057 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + DIXON SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tahasha Farisa | 225 Orbit Dr, Lavon, TX 75166-1872 | Registered Nurse | 2018-10-04 ~ 2019-05-31 |
| Bethany R Calloway | 701 Austin Ln, Lavon, TX 75166-1771 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Teresa E Mullen | 1023 Shepard Ln, Lavon, TX 75166-1875 | Registered Nurse | 2016-12-01 ~ 2017-11-30 |
| Dennis Burlingame | 30511 302nd Ave, Lineville, IA 50147-1014 | Registered Nurse - Temporary | 2020-04-23 ~ 2020-08-21 |
| Dennis Irabor | 5637 Galasso Ave, Fontana, CA 92336-5920 | Registered Nurse - Temporary | 2013-12-10 ~ 2014-04-08 |
| Theresa M Anthony | 1226 Meadow Hill Dr., Lavon, TX 75166 | Registered Nurse | 2009-04-01 ~ 2010-04-30 |
| Lavon R Lach | 27 Pontiac Road, West Hartford, CT 06117 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Dennis P White | 5521 Morgan Center Rd, Mount Vernon, OH 43050-9563 | Registered Nurse - Temporary | 2012-10-12 ~ 2013-02-09 |
| Sarah Elizabeth Lamonica | 5 Dennis Road, Wappingers Falls, NY 12590 | Registered Nurse - Temporary | 2019-12-05 ~ 2020-04-03 |
| Dennis A Martin | 2709 Santa Barbara Ct, Plant City, FL 33566 | Registered Nurse - Temporary | 2019-12-12 ~ 2020-04-10 |
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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).