GWENDOLYN E PULLIAM
Registered Nurse


Address: 149 Jubilee Hill, Grover, MO 63040

GWENDOLYN E PULLIAM (Credential# 582759) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 21, 2006. The license expiration date date is October 31, 2006. The license status is INACTIVE.

Business Overview

GWENDOLYN E PULLIAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.078757. The credential type is registered nurse. The effective date is June 21, 2006. The expiration date is October 31, 2006. The business address is 149 Jubilee Hill, Grover, MO 63040. The current status is inactive.

Basic Information

Licensee Name GWENDOLYN E PULLIAM
Credential ID 582759
Credential Number 10.078757
Credential Type Registered Nurse
Business Address 149 Jubilee Hill
Grover
MO 63040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-06-21
Effective Date 2006-06-21
Expiration Date 2006-10-31
Refresh Date 2009-07-08

Office Location

Street Address 149 JUBILEE HILL
City GROVER
State MO
Zip Code 63040

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Gloria J Adzamli 16212 Trade Winds Ct, Wildwood, MO 63040 Registered Nurse 2009-12-23 ~ 2010-08-31
Catherine A Sczesny 16086 Nantucket Island Drive, Wildwood, MO 63040 Registered Nurse 2009-03-24 ~ 2009-11-30
Jean M Keough 16447 Centerpointe, Wildwood, MO 63040 Registered Nurse 1999-04-08 ~ 2000-04-30
Suzanne Le'cuyer Md 2717 Westridge Manor Ct, Wildwood, MO 63040 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
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Briana C Nolan 409 Lea Harbor Ct, Grover, MO 63040-1912 Registered Nurse 2018-09-01 ~ 2019-08-31
Courtney M Kern 220 Harbour Pointe Dr, Grover, MO 63040-1951 Registered Nurse 2012-04-16 ~ 2012-11-30

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Gordon M Black 28085 Wcr 134, Grover, CO 80729 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City GROVER
Zip Code 63040
License Type Registered Nurse
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Dataset Information

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).

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