MANICHANH SOUTHIBOUNNORATH (Credential# 2056893) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2020. The license expiration date date is October 16, 2020. The license status is ACTIVE.
MANICHANH SOUTHIBOUNNORATH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.171736-TEMP. The credential type is registered nurse - temporary. The effective date is June 18, 2020. The expiration date is October 16, 2020. The business address is 2305 High Ridge Rd, Lima, OH 45805-4043. The current status is active.
| Licensee Name | MANICHANH SOUTHIBOUNNORATH |
| Credential ID | 2056893 |
| Credential Number | 10.171736-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
2305 High Ridge Rd Lima OH 45805-4043 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-18 |
| Effective Date | 2020-06-18 |
| Expiration Date | 2020-10-16 |
| Refresh Date | 2020-06-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2050104 | 10 | Registered Nurse | - | PENDING |
| Street Address | 2305 HIGH RIDGE RD |
| City | LIMA |
| State | OH |
| Zip Code | 45805-4043 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald C Nelson · Hlth Care & Retre of America | 1584 Putters Lane, Lima, OH 45805 | Professional Engineer | 1990-12-17 ~ 1992-01-31 |
| Keith F Helmer | 4536 Meadowview Dr, Lima, OH 45805 | Registered Nurse | 1996-02-27 ~ 1996-11-30 |
| Kangli Li | 1651 Oakwoods Drive, Lima, OH 45805 | Registered Nurse | 2007-06-25 ~ 2008-08-31 |
| Sandra M Altenbach | 2196 Idlewild Drive, Lima, OH 45805 | Registered Nurse | ~ 1996-08-31 |
| Hicham Moukaddam | 1228 Wayside Drive, Lima, OH 45805-3810 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Tracy Jean Frankhouser | 1355 Wonderlick Rd, Lima, OH 45805-3931 | Registered Nurse | 2020-01-13 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nickles Bakery | 1950 N Sugar St, Lima, OH 45801-3140 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Michelle Kay Martin | 3395 N Cool Rd, Lima, OH 45801-8746 | Registered Nurse | 2020-04-30 ~ 2020-11-30 |
| Melissa Ann Oatman | 3428 Providence Cir, Lima, OH 45801-1746 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Mark E Petroski | 2632 Poplar Hill Rd, Lima, NY 14485-9540 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Danielle Ann Dickson | 1750 East Breese Rd, Lima, OH 45806 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Decorative Precast Stone Erec, Inc | P.o.box 465, Lima, NY 14485 | Crane Registration | 1991-10-07 ~ 1992-10-06 |
| Cori J. Meerdink | N. 3031 County Highway 1, Lima, WI 53093 | Crane Operator Apprentice | 2005-05-23 ~ 2007-05-22 |
| Keith A Hargrave | 7179 W Main St, Lima, NY 14485 | Professional Engineer | 2016-03-30 ~ 2017-01-31 |
| Scott Anthony Parsons | 2670 Hadsell Rd, Lima, OH 45801-1524 | Registered Nurse | 2016-08-08 ~ 2017-03-31 |
| Northsight Management LLC | 270 Amherst Rd, Lima, OH 45806-9756 | Home Improvement Contractor | ~ |
| Find all Licenses in LIMA | |||
| City | LIMA |
| Zip Code | 45805 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + LIMA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Manichanh Ackharath | 67 Olive St., Naugatuck, CT 06770 | Hairdresser/cosmetician | ~ |
| Manichanh Philavong | 1253 Spinnaker Dr, Lakeland, FL 33805-4753 | Hairdresser/cosmetician | 2014-03-01 ~ 2016-02-29 |
| Manichanh Sorensen | 5 Carriage Hill Drive, Niantic, CT 06357 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Caryn S Nurse | 4159 Palm Dr, Snellville, GA 30039-3323 | Registered Nurse - Temporary | 2012-02-29 ~ 2012-06-28 |
| Kym D Ali | 40 Memorial Hwy Apt 15f, New Rochelle, NY 10801-8327 | Registered Nurse - Temporary | 2012-06-28 ~ 2012-10-26 |
| Tiesha K Ta'bon | 63 Mer Way, Dover, DE 19901-8838 | Registered Nurse - Temporary | 2012-02-07 ~ 2012-06-06 |
| Timothy M Ray | 621 Poe Run Rd, Elkins, WV 26241-8613 | Registered Nurse - Temporary | 2011-12-30 ~ 2012-04-28 |
| Karen Ann Duy | 302 E. 320 St., Willowick, OH 44095 | Registered Nurse - Temporary | 2017-09-19 ~ 2018-01-16 |
| Jay E Feuerbach | 110 4th St, Keystone, IA 52249-9536 | Registered Nurse - Temporary | 2012-12-19 ~ 2013-04-18 |
| Ann M Armfield | Po Box 204, Andover, NY 14806-0204 | Registered Nurse - Temporary | 2010-11-10 ~ 2011-03-10 |
Please comment or provide details below to improve the information on MANICHANH SOUTHIBOUNNORATH.
| 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).