BETTY BOHANNON APRN (Credential# 682161) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.
BETTY BOHANNON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.003983. The credential type is advanced practice registered nurse. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 133 Windcrest Pl Nw, Cleveland, TN 37312-3128. The current status is inactive.
| Licensee Name | BETTY BOHANNON APRN |
| Credential ID | 682161 |
| Credential Number | 12.003983 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
133 Windcrest Pl Nw Cleveland TN 37312-3128 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-12-03 |
| Effective Date | 2012-04-01 |
| Expiration Date | 2013-03-31 |
| Refresh Date | 2013-07-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 591438 | 10.087436 | Registered Nurse | 2008-12-03 | 2012-04-01 - 2013-03-31 | INACTIVE |
| 519257 | CSP.0044842 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-12-04 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 133 WINDCREST PL NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-3128 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shaun Christopher Johnson | 5845 Frontage Rd Nw, Cleveland, TN 37312 | Registered Nurse - Temporary | 2017-06-07 ~ 2017-10-04 |
| Steven M Jackson | 2049 Rabbit Valley Road Nw, Cleveland, TN 37312 | Nursing Home Administrator | 2012-09-01 ~ 2014-08-31 |
| Janice D Rice | 176 Hunters Run Circle Nw, Cleveland, TN 37312 | Registered Nurse | 2008-12-19 ~ 2010-01-31 |
| Jere T Licciardello | 400 Berywood Tr., Cleveland, TN 37312 | Physician/surgeon | 2005-09-30 ~ 2006-10-31 |
| Arlene A Mcaree | 2502 Overbrook Cir, Cleveland, TN 37312 | Registered Nurse | 2006-10-13 ~ 2007-10-31 |
| Nancy A Work | 215 Wilson Heights Cr, Cleveland, TN 37312 | Licensed Practical Nurse | 2005-11-21 ~ 2006-12-31 |
| Christine P Ward | 5117 Cindy Cr Nw, Cleveland, TN 37312 | Heating, Piping & Cooling Limited Journeyperson | 2006-09-01 ~ 2007-08-31 |
| Alexsandra Morgan Johnson | 5845 Frontage Rd Nw, Cleveland, TN 37312 | Registered Nurse - Temporary | 2017-06-07 ~ 2017-10-04 |
| Lisa S Moses | 1885 Partridge Rd Nw, Cleveland, TN 37312-2128 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Inna Skotsen | 2719 22nd St Nw, Cleveland, TN 37312-2310 | Licensed Practical Nurse - Temporary | 2019-04-24 ~ 2019-08-22 |
| Find all Licenses in zip 37312 | |||
| City | CLEVELAND |
| Zip Code | 37312 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + CLEVELAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Jay M Seigel Aprn | 24 Channing St, New London, CT 06320 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Jill V Tesei Aprn | 399 E Putnam Ave Ste 1, Cos Cob, CT 06807-2558 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Wendy Sergeant Aprn | Po Box 964, Sturbridge, MA 01566-2964 | Advanced Practice Registered Nurse | 2008-05-22 ~ 2009-05-31 |
| Artee A Srivastava Aprn | 760 Mix Ave, Hamden, CT 06514 | Advanced Practice Registered Nurse | 1999-05-12 ~ 2000-06-30 |
| Kym E D'agostino Aprn | 43 Wedgewood Dr., Easton, CT 06612 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Kyuwon Yu Aprn | 24 Hospital Ave, Danbury, CT 06810-6077 | Advanced Practice Registered Nurse | 2007-05-07 ~ 2008-06-30 |
| Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Sharon B Gallipeau Aprn | Po Box 914, Newport, RI 02840 | Advanced Practice Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Salvatore Tresca Aprn | Johnston, RI 02919 | Advanced Practice Registered Nurse | 2018-04-01 ~ 2019-03-31 |
Please comment or provide details below to improve the information on BETTY BOHANNON APRN.
| 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).