KEITH N JOHANNESSEN
Nursing Home Administrator


Address: 2507 Twelve Oaks Ln, Colleyville, TX 76034

KEITH N JOHANNESSEN (Credential# 765138) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2007. The license expiration date date is November 30, 2008. The license status is INACTIVE.

Business Overview

KEITH N JOHANNESSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.000865. The credential type is nursing home administrator. The effective date is February 20, 2007. The expiration date is November 30, 2008. The business address is 2507 Twelve Oaks Ln, Colleyville, TX 76034. The current status is inactive.

Basic Information

Licensee Name KEITH N JOHANNESSEN
Credential ID 765138
Credential Number 36.000865
Credential Type Nursing Home Administrator
Business Address 2507 Twelve Oaks Ln
Colleyville
TX 76034
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-12-20
Effective Date 2007-02-20
Expiration Date 2008-11-30
Refresh Date 2009-07-08

Office Location

Street Address 2507 TWELVE OAKS LN
City COLLEYVILLE
State TX
Zip Code 76034

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michael R Baker 7603 Jefferson Cir, Colleyville, TX 76034 Professional Engineer 1990-12-20 ~ 1992-01-31
Thomas S Lach 7214 Brooke Dr., Colleyville, TX 76034 Professional Engineer 2020-02-01 ~ 2021-01-31
Shraddha A Kansagra 4104 Lombardy Court, Colleyville, TX 76034 Pharmacist 2020-02-01 ~ 2022-01-31
Brian E Chandler 6205 Emmas Ct, Colleyville, TX 76034 Professional Engineer 2020-02-01 ~ 2021-01-31
Thomas P Taylor 2301 Poplar Lane, Colleyville, TX 76034 Professional Engineer 2020-02-01 ~ 2021-01-31
Howard R Horn Jr 3605 San Bar Lane, Colleyville, TX 76034 Professional Engineer 2009-02-01 ~ 2010-01-31
Eric K Fischer Jr 2404 Ballentrae Dr, Colleyville, TX 76034 Professional Engineer 2009-02-01 ~ 2010-01-31
Joseph H Jones Jr 3908 Windview Dr, Colleyville, TX 76034 Real Estate Salesperson ~
Kristin M Silvestri 6506 Beddo Court, Colleyville, TX 76034 Registered Nurse 2011-01-01 ~ 2011-12-31
Kathleen Fallon 6201 Ponderosa, Colleyville, TX 76034 Dental Hygienist 1992-10-23 ~ 1993-10-31
Find all Licenses in zip 76034

Competitor

Search similar business entities

City COLLEYVILLE
Zip Code 76034
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + COLLEYVILLE

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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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