ADAM JACKSON (Credential# 2043288) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is May 8, 2020. The license expiration date date is September 5, 2020. The license status is ACTIVE.
ADAM JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.170755-TEMP. The credential type is registered nurse - temporary. The effective date is May 8, 2020. The expiration date is September 5, 2020. The business address is 904 Balsamtree Pl, Capitol Heights, MD 20743-6408. The current status is active.
| Licensee Name | ADAM JACKSON |
| Credential ID | 2043288 |
| Credential Number | 10.170755-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
904 Balsamtree Pl Capitol Heights MD 20743-6408 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-08 |
| Effective Date | 2020-05-08 |
| Expiration Date | 2020-09-05 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2043278 | 10 | Registered Nurse | - | PENDING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Jackson | 18 Cranberry Dr, Uncasville, CT 06382 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Adam Jackson | 222 Bradley Ave, Waterbury, CT 06708 | Medication Administration Certification | ~ |
| Adam Jackson | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2008-01-16 ~ 2010-01-15 |
| Street Address | 904 BALSAMTREE PL |
| City | CAPITOL HEIGHTS |
| State | MD |
| Zip Code | 20743-6408 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurine D Kennedy | 4347 Southern Avenue, Capitol Heights, MD 20743 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Lantega Richardson | 1012 Fairford Way, Capitol Heights, MD 20743 | Registered Nurse | ~ |
| Fay A Williams | 3729 Lumar Drive, Fort Washington, MD 20743 | Registered Nurse | 1996-09-17 ~ 1997-11-30 |
| Safeway Stores Inc | 4525 Addison Rd, Capitol Heights, MD 20743 | Frozen Dessert Wholesaler | 2002-01-01 ~ 2002-12-31 |
| Capcity Beverage LLC | 8700 Edgeworth Dr Unit B, Capitol Heights, MD 20743-3701 | Out of State Shipper Liquor | ~ |
| Remodel Usa Inc | 605 Hampton Park Blvd, Capitol Heights, MD 20743-4924 | Home Improvement Contractor | 2019-09-27 ~ 2020-11-30 |
| Cherri Antoinette Foreman | 4211 Shell St, Capitol Heights, MD 20743-5644 | Registered Nurse - Temporary | 2019-06-25 ~ 2019-10-23 |
| City | CAPITOL HEIGHTS |
| Zip Code | 20743 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + CAPITOL HEIGHTS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Robert Massicott | 68 Jackson Rd, Higganum, CT 06441-4425 | Registered Nurse | ~ |
| Thomas Adam Hudson | 736 S President St Apt 203, Jackson, MS 39201-5624 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Kimberly Higgins | 10853 W Adam Ave, Sun City, AZ 85373-8725 | Registered Nurse - Temporary | 2015-04-07 ~ 2015-08-04 |
| Adam Kirk Sparkman | 533 Oakhill Ct, Brooksville, FL 34601-1265 | Registered Nurse - Temporary | 2018-02-14 ~ 2018-06-13 |
| Adam Edwards | 15 Marcus Lane, Clark, PA 16113 | Registered Nurse - Temporary | 2019-02-04 ~ 2019-06-04 |
| Adam Joseph Jimenez | 24 Westvalley Dr, Rome, GA 30165 | Registered Nurse - Temporary | 2018-06-11 ~ 2018-10-08 |
| Matthew Adam Tate | 16415 221st Rd, Live Oak, FL 32060-5220 | Registered Nurse - Temporary | 2019-08-01 ~ 2019-11-29 |
| Vanessa Phoebe Adam | 8050 N Nob Hill Rd Apt 202, Tamarac, FL 33321 | Registered Nurse - Temporary | 2020-06-03 ~ 2020-10-01 |
| Adam C Frenz | 5925 Sandhill Ridge Dr, Lithia, FL 33547-3882 | Registered Nurse - Temporary | 2012-11-09 ~ 2013-03-09 |
| John Adam Marz | 2119 Arleigh Rd., Cinnaminson, NJ 08077 | Registered Nurse - Temporary | 2017-10-31 ~ 2018-02-27 |
Please comment or provide details below to improve the information on ADAM JACKSON.
| 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).