LISA M HAMM-GOUGH (Credential# 667326) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LISA M HAMM-GOUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.023384. The credential type is licensed practical nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 57 Agape Dr, Ephrata, PA 17522-9108. The current status is active.
| Licensee Name | LISA M HAMM-GOUGH |
| Credential ID | 667326 |
| Credential Number | 11.023384 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
57 Agape Dr Ephrata PA 17522-9108 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1990-06-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| Street Address | 57 AGAPE DR |
| City | EPHRATA |
| State | PA |
| Zip Code | 17522-9108 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ds Services of America Inc · Ds Waters of America Inc | 1761 Newport Road, Ephrata, PA 17522 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
| Eugene Chong Hun Ko | 1170 South State Street, Ephrata, PA 17522 | Physician/surgeon | 2020-02-11 ~ 2021-01-31 |
| Gail M Leggett · Jacobelli | 1266 Martin Ave., Ephrata, PA 17522 | Radiographer | 2019-09-01 ~ 2020-08-31 |
| Gwendolyn R Ashbaugh | 3182 Rothsville Road, Ephrata, PA 17522 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Brittany Lyn Ruth | 890 N State St, Ephrata, PA 17522 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Mckesson Water Products-ephrata | 1140 State St, Ephrata, PA 17522 | Non-alcoholic Beverage & Water Bottlers | 1999-07-01 ~ 2000-06-30 |
| Danone Waters of North America | 1761 Newport Rd, Ephrata, PA 17522 | Non-alcoholic Beverage & Water Bottlers | 2001-07-10 ~ 2002-06-30 |
| Thomas Walaszczyk | 40 W. King Street, Ephrata, PA 17522 | Chiropractor | ~ |
| Kenneth F Frederick | 74 Westpointe Dr, Ephrata, PA 17522 | Electrical Unlimited Journeyperson | 2007-08-24 ~ 2008-09-30 |
| Heather C Soistmann | 391 Holly Drive, Ephrata, PA 17522 | Registered Nurse | 1996-06-03 ~ 1997-06-30 |
| Find all Licenses in zip 17522 | |||
| City | EPHRATA |
| Zip Code | 17522 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + EPHRATA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara H Gough | P O Box 187, Gilman, VT 05904 | Licensed Practical Nurse | 1992-04-24 ~ 1993-03-31 |
| Kacia N Hamm | 117 Benham Ave, Bridgeport, CT 06605-1004 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Robin L Hamm | 451 High St, Coventry, CT 06238 | Licensed Practical Nurse | 1994-04-11 ~ 1995-06-30 |
| Rosemary Hamm | 2996 Lowery Drive, Qviedo, FL 32765 | Licensed Practical Nurse | 1998-08-11 ~ 1999-06-30 |
| Lisa Anderson · Wieczorek Lisa | 20 Blueberry Circle, Ellington, CT 06029 | Licensed Practical Nurse | 2019-07-01 ~ 2020-06-30 |
| Arthur B. Hamm · Arthur B Hamm Builder | 109 North Main Street, Terryville, CT 06786 | Home Improvement Contractor | ~ 1995-10-01 |
| Lisa M. Gough | 598 Route 148, Killingworth, CT 06419 | Honey Bee Registration | 2003-01-01 ~ 2003-12-31 |
| Lisa R Brown | CT | Licensed Practical Nurse | ~ |
| Hamm LLC | 3669 Winsted Rd, Torrington, CT 06790-2228 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Ami J Del Buono | 40 Lisa Dr, Shelton, CT 06484-2482 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on LISA M HAMM-GOUGH.
| 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).