RANDALL F JENKS (Credential# 678343) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 20, 2002. The license expiration date date is September 30, 2003. The license status is INACTIVE.
RANDALL F JENKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000150. The credential type is advanced practice registered nurse. The effective date is September 20, 2002. The expiration date is September 30, 2003. The business address is 1910 S Cypress Ave, Broken Arrow, OK 74012-6081. The current status is inactive.
Licensee Name | RANDALL F JENKS |
Credential ID | 678343 |
Credential Number | 12.000150 |
Credential Type | Advanced Practice Registered Nurse |
Business Address |
1910 S Cypress Ave Broken Arrow OK 74012-6081 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1991-02-05 |
Effective Date | 2002-09-20 |
Expiration Date | 2003-09-30 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
605081 | 10.E32613 | Registered Nurse | 1970-09-08 | 2000-09-27 - 2001-09-30 | INACTIVE |
Street Address | 1910 S CYPRESS AVE |
City | BROKEN ARROW |
State | OK |
Zip Code | 74012-6081 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine M Jenks | 1910 S Cypress Ave, Broken Arrow, OK 74012 | Registered Nurse | 2002-01-23 ~ 2003-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Olumuyiwa O Adeboye Md | 3400 W Princeton Street, Broken Arrow, OK 74012 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
Andrew C Higgins | 3712 W Iola, Broken Arrow, OK 74012 | Professional Engineer | 1996-02-01 ~ 1997-01-31 |
David L Arnold | 1001 E Tacoma Street, Broken Arrow, OK 74012 | Professional Engineer | 2006-02-13 ~ 2007-01-31 |
Kadiri V Venkatesha | 3205 W Hartford Street, Broken Arrow, OK 74012 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
Henry S Dangerfield Jr · O | 805 North Hemlock Avenue, Broken Arrow, OK 74012 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
Gary R Field | 2208 Edgewater, Broken Arrow, OK 74012 | Fire Protection Limited Contractor | ~ |
William H Shuler | 715 36th Street Nw, Broken Arrow, OK 74012 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
Douglas D Heinrichs | 1413 E Concord St, Broken Arrow, OK 74012 | Architect | 2008-08-01 ~ 2009-07-31 |
William R Ridgeway | 1314 E Concord Place, Broken Arrow, OK 74012 | Architect | 1997-08-01 ~ 1998-07-31 |
Eunice A Aghauche | 1302 West Pittsburg Pl, Broken Arrow, OK 74012 | Registered Nurse | 2008-06-23 ~ 2009-06-30 |
Find all Licenses in zip 74012 |
City | BROKEN ARROW |
Zip Code | 74012 |
License Type | Advanced Practice Registered Nurse |
License Type + County | Advanced Practice Registered Nurse + BROKEN ARROW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William A Jenks · Jenks Painting | 29 Newfane Rd, New Fairfield, CT 06812 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Ann Mullins | 885 Enon Ln, Bolivar, TN 38008-3851 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Michelle O Itidiare | 255 Baltusrol Way, Springfield, NJ 07081-2107 | Advanced Practice Registered Nurse | ~ |
Barbara J Voskowsky | Po Box 431, Granby, CT 06035-0431 | Advanced Practice Registered Nurse | 2011-08-01 ~ 2012-07-31 |
Yan Chen | 326 Mountain Rd, Wilton, CT 06897-1532 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Gordon P Kempe | Po Box 277, Sanbornton, NH 03269 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-06-30 |
Sharon K Hernly | 20 Fox Den Rd, Danbury, CT 06811 | Advanced Practice Registered Nurse | 1997-02-05 ~ 1998-03-31 |
Elizabeth S Doty | 77 Lee Dr, Southington, CT 06489-2926 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Jacqueline M Havriliak | P O Box 427, Wayne, PA 19087 | Advanced Practice Registered Nurse | 2002-01-14 ~ 2003-02-28 |
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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).