ANNELLE L FORD
Registered Nurse


Address: 124 Hampden Road, Winter Haven, FL 33884

ANNELLE L FORD (Credential# 655682) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 8, 1999. The license expiration date date is May 31, 2000. The license status is INACTIVE.

Business Overview

ANNELLE L FORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R55940. The credential type is registered nurse. The effective date is April 8, 1999. The expiration date is May 31, 2000. The business address is 124 Hampden Road, Winter Haven, FL 33884. The current status is inactive.

Basic Information

Licensee Name ANNELLE L FORD
Credential ID 655682
Credential Number 10.R55940
Credential Type Registered Nurse
Business Address 124 Hampden Road
Winter Haven
FL 33884
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-10-09
Effective Date 1999-04-08
Expiration Date 2000-05-31
Refresh Date 2009-07-08

Office Location

Street Address 124 HAMPDEN ROAD
City WINTER HAVEN
State FL
Zip Code 33884

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Joyce E Pemberton 651 Broadmoor Circle, Winter Haven, FL 33884 Notary Public Appointment 2008-04-01 ~ 2013-03-31
Lucien J Parrillo Md 4908 Willowbrook Circle, Winter Haven, FL 33884 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Paulene Tsou Jasurek 405 Coleman Drive, Winter Haven, FL 33884 Pharmacist 2016-02-01 ~ 2018-01-31
Amanda Rohrbaugh 365 Sterling Drive, Winter Haven, FL 33884 Registered Nurse 2015-04-17 ~ 2016-02-29
Kimberly K Morledge 162 Sweet Circle Drive, Winter Haven, FL 33884 Registered Nurse - Temporary 2011-04-07 ~ 2011-08-05
Edward Lubin Md 2532 Partridge Drive, Winter Haven, FL 33884 Physician/surgeon 2006-08-25 ~ 2007-05-31
Carolyn M Rosenthal · Miller 4126 Lake Ned, Winter Haven, FL 33884 Licensed Practical Nurse 2008-05-09 ~ 2009-06-30
Ann Marie Barnhart 1 Bridgewater Dr, Winter Haven, FL 33884 Registered Nurse 1994-07-05 ~ 1995-07-31
Mary A Henri 151 Lake Ring Dr, Winter Haven, FL 33884 Dental Hygienist 1992-08-26 ~ 1993-07-31
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City WINTER HAVEN
Zip Code 33884
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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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