JENNIFER A BLAKE (Credential# 570056) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
JENNIFER A BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.066049. The credential type is registered nurse. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 494 Woonasquatucket Ave Apt 414, North Providence, RI 02911-1667. The current status is inactive.
| Licensee Name | JENNIFER A BLAKE |
| Credential ID | 570056 |
| Credential Number | 10.066049 |
| Credential Type | Registered Nurse |
| Business Address |
494 Woonasquatucket Ave Apt 414 North Providence RI 02911-1667 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-07-02 |
| Effective Date | 2014-08-01 |
| Expiration Date | 2015-07-31 |
| Refresh Date | 2015-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1065539 | 10.105160-TEMP | Registered Nurse - Temporary | 2012-04-09 | 2012-04-09 - 2012-08-07 | INACTIVE |
| Street Address | 494 WOONASQUATUCKET AVE APT 414 |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02911-1667 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mi Sun Russo · Mi Sun Choi | 1776 Bicennial Way J5, North Providence, RI 02911 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Larissa Gokey | 1776 Bicentennial Way, North Providence, RI 02911 | Registered Nurse | 2018-12-04 ~ 2019-12-31 |
| Rebecca Brabec | 184 Woonasquatucket Ave, North Providence, RI 02911 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Melissa Marie Perrille · Premier Realty Group | 1599 Smith St, North Providence, RI 02911 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Anna Baker | 112 Cottage Ave, North Providence, RI 02911 | Veterinarian | 2020-03-01 ~ 2021-02-28 |
| Phuoc H Tran | 6 Elmore St, North Providence, RI 02911 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Charlotte Marie Coletta | 56 Bel Air Dr, Providence, RI 02911 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jamie N Tran | 6 Elmore Avenue, North Providence, RI 02911 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Louis Dante Lanni | 48 Joslin Street, North Providence, RI 02911 | Casino Class I Employee | 2020-01-10 ~ 2020-10-31 |
| Katherine M Kmon | 584 Fruit Hill Avenue, North Providence, RI 02911 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Find all Licenses in zip 02911 | |||
| City | NORTH PROVIDENCE |
| Zip Code | 02911 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + NORTH PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Fodaski | 180 Blake Rd, Moultonborough, NH 03254-3804 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Jean A Blake | C/o Donald Blake, Brevard, NC 28712 | Registered Nurse | 1993-02-25 ~ 1994-02-28 |
| Donna M Blake · Blake | 59 Higgins Ave, Bridgeport, CT 06606 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lbf Blake St Convenience LLC · Blake St Convenience | 295 Blake St, New Haven, CT 06515-1295 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-05-15 ~ 2021-02-28 |
| Jennifer Tate | 26 Blake St, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ronald W Blake · Ron Blake Carpentry | 49 Thomaston Rd, Morris, CT 06763 | Home Improvement Contractor | 1997-07-08 ~ 1997-11-30 |
| Jennifer C Zhao | 400 Blake St, Apt 4414, New Haven, CT 06515 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Jennifer Cihonski | 400 Blake St Apt 5112, New Haven, CT 06515-4430 | Athletic Trainer | 2018-05-01 ~ 2019-04-30 |
| Jennifer M Blake | 13 Harry Rd, Jewett City, CT 06351-1018 | Emergency Medical Responder | 2013-11-20 ~ 2016-10-01 |
| Jennifer Sueyun Roh | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on JENNIFER A BLAKE.
| 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).