PHILLIP DANIEL SMITH
Registered Nurse - Temporary


Address: 2228 James Dr, Southside, AL 35907-5413

PHILLIP DANIEL SMITH (Credential# 904931) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is November 20, 2009. The license expiration date date is March 20, 2010. The license status is INACTIVE.

Business Overview

PHILLIP DANIEL SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.091615-TEMP. The credential type is registered nurse - temporary. The effective date is November 20, 2009. The expiration date is March 20, 2010. The business address is 2228 James Dr, Southside, AL 35907-5413. The current status is inactive.

Basic Information

Licensee Name PHILLIP DANIEL SMITH
Credential ID 904931
Credential Number 10.091615-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 2228 James Dr
Southside
AL 35907-5413
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2009-11-20
Effective Date 2009-11-20
Expiration Date 2010-03-20
Refresh Date 2010-03-30

Other licenses

ID Credential Code Credential Type Issue Term Status
904930 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 2228 JAMES DR
City SOUTHSIDE
State AL
Zip Code 35907-5413

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Celeste Christopher 2742 Camelot Way, Southside, AL 35907 Occupational Therapist ~ 1999-07-31

Competitor

Search similar business entities

City SOUTHSIDE
Zip Code 35907
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + SOUTHSIDE

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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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