JODI J LAKE (Credential# 652417) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license expiration date date is November 30, 1996. The license status is INACTIVE.
JODI J LAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R52671. The credential type is registered nurse. The expiration date is November 30, 1996. The business address is P.o. Box 58, Ruidoso Downs, NM 88346. The current status is inactive.
| Licensee Name | JODI J LAKE |
| Credential ID | 652417 |
| Credential Number | 10.R52671 |
| Credential Type | Registered Nurse |
| Business Address |
P.o. Box 58 Ruidoso Downs NM 88346 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-05-10 |
| Expiration Date | 1996-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | P.O. BOX 58 |
| City | RUIDOSO DOWNS |
| State | NM |
| Zip Code | 88346 |
| City | RUIDOSO DOWNS |
| Zip Code | 88346 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + RUIDOSO DOWNS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jodi Nejaimey | 472 Lake Avenue, Worcester, MA 01604 | Physical Therapist | 1999-10-05 ~ 2000-09-30 |
| Jodi L Dupre | 670 Mix Ave, Hamden, CT 06514 | Registered Nurse | 2004-01-27 ~ 2005-01-31 |
| Jodi L Mongeon | 5 Lake View Avenue, Brookfield, MA 01506 | Notary Public Appointment | 2009-08-26 ~ 2014-08-31 |
| Jodi M Patrick | 123 Tunxis Vlg, Farmington, CT 06032-1502 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Jodi L Huften | 34 Church St, Canaan, CT 06018-2445 | Registered Nurse | 2010-08-01 ~ 2011-07-31 |
| Jodi G Sapper | 527 N Broad St, Seagrove, NC 27341-8583 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Jodi Fry | 200 Van Horne Avenue, Ontario, M2J 2T8 | Registered Nurse | 1998-08-10 ~ 1999-09-30 |
| Jodi L Marshall | 10 Prindle Ave, Derby, CT 06418-2049 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Jodi M Green | 18 Maybrey Dr, Westerly, RI 02891-2039 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Karen M Custy | 16 Jodi Dr, Meriden, CT 06450-3569 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
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| 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).