JACOB WEIS (Credential# 2042946) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is May 7, 2020. The license expiration date date is September 4, 2020. The license status is ACTIVE.
JACOB WEIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.170720-TEMP. The credential type is registered nurse - temporary. The effective date is May 7, 2020. The expiration date is September 4, 2020. The business address is 7112 S 228th East Ave, Broken Arrow, OK 74014-2426. The current status is active.
| Licensee Name | JACOB WEIS |
| Credential ID | 2042946 |
| Credential Number | 10.170720-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
7112 S 228th East Ave Broken Arrow OK 74014-2426 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-07 |
| Effective Date | 2020-05-07 |
| Expiration Date | 2020-09-04 |
| Refresh Date | 2020-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2042804 | 10 | Registered Nurse | - | PENDING |
| Street Address | 7112 S 228TH EAST AVE |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-2426 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darla Y Magness | 4908 S. 267 E. Avenue, Broken Arrow, OK 74014 | Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Michael F Pondrom | 808 South 75th Street, Broken Arrow, OK 74014 | Pharmacist | 2005-02-01 ~ 2006-01-31 |
| Patrice J Holmes | 20348 E 42nd Pl S, Broken Arrow, OK 74014-1575 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce K Magness | 4908 S 267th East Ave, Broken Arrow, OK 74014-5219 | Architect | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol Hasselman | 6321 South Birch Av, Broken Arrow, OK 74011 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Giulia C Conley | 1100 W Tucson St Apt 211, Broken Arrow, OK 74011-7232 | Pharmacist | 2020-06-05 ~ 2022-01-31 |
| Blessings International | 1650 N Indianwood Ave, Broken Arrow, OK 74012-1284 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Meisha L Hall | 2508 W Huntsville St, Broken Arrow, OK 74011-6124 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Cynthia Ann Orona | 2612 W Fredericksburg St, Broken Arrow, OK 74011-6134 | Registered Nurse | ~ |
| Olumuyiwa O Adeboye Md | 3400 W Princeton Street, Broken Arrow, OK 74012 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Encore Scientific, LLC | 801 W New Orleans St, Broken Arrow, OK 74011 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2018-12-13 ~ |
| Lillian Rae Harstine | 216 E Vicksburg St, Broken Arrow, OK 74011-3807 | Controlled Substance Registration for Practitioner | 2017-01-11 ~ 2019-02-28 |
| Christopher A Harwell | 2313 W Ocala St, Broken Arrow, OK 74011-4518 | Professional Engineer | ~ |
| Debra M Lapointe | 205 S Sycamore Ave, Broken Arrow, OK 74012-8381 | Hairdresser/cosmetician | 2018-10-01 ~ 2020-09-30 |
| Find all Licenses in BROKEN ARROW | |||
| City | BROKEN ARROW |
| Zip Code | 74014 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + BROKEN ARROW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana B Costa | 24 Jacob Rd, Windham, NH 03087-4409 | Registered Nurse - Temporary | 2017-12-13 ~ 2018-04-11 |
| Jacob L Pepper | 616 Virginia St, Idaho Springs, CO 80452 | Registered Nurse - Temporary | 2018-06-07 ~ 2018-10-04 |
| Jacob Edward Young | 112 Quail Run Dr., Calhoun, GA 30701 | Registered Nurse - Temporary | 2019-04-15 ~ 2019-08-13 |
| Jacob William Davis | 5707 Q Ave, Kearney, NE 68847 | Registered Nurse - Temporary | 2017-10-17 ~ 2018-02-13 |
| Jacob Spencer Gajewski | 823 Woolwick Ct, Saint Charles, MO 63304-6944 | Registered Nurse - Temporary | 2017-09-06 ~ 2018-01-03 |
| Jacob Ryan Garcia | 17803 La Cantera Ter Apt 12218, San Antonio, TX 78256-2549 | Registered Nurse - Temporary | 2020-04-09 ~ 2020-08-07 |
| Chelsea L Weis | 93 S Main St, Terryville, CT 06786-6206 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Alexandra M Weis | 140 Lincoln Ave, Yonkers, NY 10704-1619 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Nancy C Weis | 69 Longfellow Street, Hartsdale, NY 10530 | Registered Nurse | ~ 1997-03-31 |
| Emerita Guzman Carinugan | 41a Weis Rd, Albany, NY 12208-1921 | Registered Nurse | 2020-05-08 ~ 2021-04-30 |
Please comment or provide details below to improve the information on JACOB WEIS.
| 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).