BETH A WAGENBACH (Credential# 672907) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 30, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.
BETH A WAGENBACH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.029105. The credential type is licensed practical nurse. The effective date is August 30, 2004. The expiration date is September 30, 2005. The business address is 508 Broadway St, Tremont, IL 61568. The current status is inactive.
Licensee Name | BETH A WAGENBACH |
Doing Business As | Virklfr |
Credential ID | 672907 |
Credential Number | 11.029105 |
Credential Type | Licensed Practical Nurse |
Business Address |
508 Broadway St Tremont IL 61568 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2002-05-20 |
Effective Date | 2004-08-30 |
Expiration Date | 2005-09-30 |
Refresh Date | 2009-07-08 |
Street Address | 508 BROADWAY ST |
City | TREMONT |
State | IL |
Zip Code | 61568 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joel R Hatter | 31 Vaux Avenue, Tremont, PA 17981 | Asbestos Abatement Supervisor | 2002-10-15 ~ 2003-11-30 |
Laurie A Davis | 136 Spring Street, Tremont, PA 17981 | Asbestos Abatement Supervisor | 2000-05-08 ~ 2001-03-31 |
Michael J Kohr | 136 Spring Street, Tremont, PA 17981 | Asbestos Abatement Worker | 2000-05-30 ~ 2000-09-30 |
City | TREMONT |
Zip Code | 61568 |
License Type | Licensed Practical Nurse |
License Type + County | Licensed Practical Nurse + TREMONT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Beth A Coones | 36 3rd Ave, Waterford, CT 06385-1821 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Daisy C Hall | 89 Beth Ann Cir, Meriden, CT 06450-7301 | Licensed Practical Nurse | 2014-12-01 ~ 2015-11-30 |
Beth L Delucia | 135 Dorrance St., Hamden, CT 06518 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
Beth M Alden | 33 Whitney Ave Apt 2l, Beverly, MA 01915-3452 | Licensed Practical Nurse | 2016-09-01 ~ 2017-08-31 |
Beth A Coppola | 33 Forest St, Naugatuck, CT 06770 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Beth L Alves | 92 Rugby Rd, Shelton, CT 06484-1682 | Licensed Practical Nurse | 2018-08-01 ~ 2019-07-31 |
Beth A Gelinas | 8 Chestnut Dr., Wolcott, CT 06716 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Beth E Colella Mrs | 773 Main St, Oakville, CT 06779 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
Beth B Philbrook | 613 Highland Ave, Torrington, CT 06790-7401 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
Andrea Veronica Soden | 69 Beth Ln, Waterbury, CT 06705-2521 | Licensed Practical Nurse | ~ |
Please comment or provide details below to improve the information on BETH A WAGENBACH.
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).