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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
904930 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
Street Address | 2228 JAMES DR |
City | SOUTHSIDE |
State | AL |
Zip Code | 35907-5413 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Celeste Christopher | 2742 Camelot Way, Southside, AL 35907 | Occupational Therapist | ~ 1999-07-31 |
City | SOUTHSIDE |
Zip Code | 35907 |
License Type | Registered Nurse - Temporary |
License Type + County | Registered Nurse - Temporary + SOUTHSIDE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Phillip R Smith Pto | 949 Avery St, South Windsor, CT 06074-2306 | Raffle Permit Class 5 | 2016-03-20 ~ 2016-03-31 |
Akia W Phillip | 159 Mike Ct, Elkton, MD 21921-4939 | Registered Nurse - Temporary | 2013-12-04 ~ 2014-04-02 |
Phillip A Smith | 147 Amity Street, Meriden, CT 06450 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
Daniel R Smith | 114 E Wesley Dr, Owosso, MI 48867-1276 | Registered Nurse | 2014-02-03 ~ 2015-02-28 |
Daniel P Bryant | 171 Federal Way Apt 102, Johnston, RI 02919-4682 | Registered Nurse - Temporary | 2012-03-08 ~ 2012-07-06 |
Barbara Smith-foy | 566 Route 199, Red Hook, NY 12571-2428 | Registered Nurse - Temporary | 2020-04-13 ~ 2020-08-11 |
Diane L Smith | 34 Norman St, Kankakee, IL 60901-6031 | Registered Nurse - Temporary | 2014-11-13 ~ 2015-03-12 |
Alicia N Smith | 702 Texas Ave, Ferriday, LA 71334-2742 | Registered Nurse - Temporary | 2009-11-12 ~ 2010-03-12 |
Allison Smith | 135 East Elm Ave, Quincy, MA 02170 | Registered Nurse - Temporary | 2015-06-04 ~ 2015-10-01 |
Jason L Smith | 210 Highway 331, Oxford, MS 38655-9461 | Registered Nurse - Temporary | 2013-07-16 ~ 2013-11-12 |
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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).