CAROLYN A CLACK (Credential# 981924) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
CAROLYN A CLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.097939. The credential type is registered nurse. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 127 Pebble Beach Dr, Vicksburg, MS 39183-8363. The current status is inactive.
| Licensee Name | CAROLYN A CLACK |
| Credential ID | 981924 |
| Credential Number | 10.097939 |
| Credential Type | Registered Nurse |
| Business Address |
127 Pebble Beach Dr Vicksburg MS 39183-8363 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-01-27 |
| Effective Date | 2015-02-01 |
| Expiration Date | 2016-01-31 |
| Refresh Date | 2016-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 981944 | 10.097791-TEMP | Registered Nurse - Temporary | 2011-01-19 | 2011-01-19 - 2011-05-19 | INACTIVE |
| Street Address | 127 PEBBLE BEACH DR |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39183-8363 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paige S Bond | 117 Dogwood Lake Dr, Vicksburg, MS 39183 | Hairdresser/cosmetician | 2002-05-24 ~ 2003-02-28 |
| Erin R Brooks | 106 Windy Lake Cir, Vicksburg, MS 39183-1115 | Registered Nurse | 2013-12-19 ~ 2014-07-31 |
| Byron M Jones | 414 Farmer St # 1, Vicksburg, MS 39183-2214 | Heating, Piping & Cooling Limited Journeyperson | 2016-09-01 ~ 2017-08-31 |
| A Plus Healthcare Wholesale Inc | 100 Pear Orchard Dr A-1, Vicksburg, MS 39183-7153 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2007-07-01 ~ 2008-06-30 |
| Lorilea Williams | 109 Plantation Dr, Vicksburg, MS 39183-8765 | Registered Nurse - Temporary | 2012-08-29 ~ 2012-12-27 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary L Lynch | 110 Cain Ridge Road, Vicksburg, MS 39180 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Angela Nichole Bailey | 112 Lakeland Park Drive, Vicksburg, MS 39180 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Judy L Willy · Ochsner | 725 Adams St, Vicksburg, MI 49097-1404 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| Vicksburg Special Care Pharmacy & Compounding LLC · Aspire Rx | 4079 Pemberton Blvd, Vicksburg, MS 39180 | Nonresident Pharmacy | 2016-09-01 ~ 2017-08-31 |
| Kevin Hogan | 105 Belva Dr, Vicksburg, MS 39180-8928 | Heating, Piping & Cooling Limited Journeyperson | 2014-09-01 ~ 2015-08-31 |
| Donna M Ingram | 110 Monument Place, Vicksburg, MS 39180 | Certified Public Accountant Certificate | ~ |
| Taruna C Sanipara · Patel | 432 Garden Grove St, Vicksburg, MS 39180-5455 | Registered Nurse | 2011-02-01 ~ 2012-01-31 |
| Lora M Brown | 1103 Polk St, Vicksburg, MS 39180 | Registered Nurse | 2005-08-11 ~ 2006-08-31 |
| Lynne C Mcnab | #5g-780 Hwy 61n, Vicksburg, MS 39180 | Registered Nurse | ~ 1998-03-31 |
| Angela B Wells | 1707 Highway 80, Vicksburg, MS 39180 | Registered Nurse | 1999-07-16 ~ 2000-01-31 |
| Find all Licenses in VICKSBURG | |||
| City | VICKSBURG |
| Zip Code | 39183 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + VICKSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joe Clack | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2004-08-10 ~ 2006-08-09 |
| Timothy Clack | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2011-06-07 ~ 2013-06-06 |
| Jerry R Clack | Po Box 5098, Monroe, LA 71211 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Gracie C Clack | 82 Cityview Avenue, Bridgeport, CT 06600 | Notary Public Appointment | 1978-05-08 ~ 1983-03-31 |
| Gracie C Clack | 646 Sylvan Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 1988-06-01 ~ 1993-03-31 |
| T Dean Clack | 11 Tinker Drive, Windsor Locks, CT 06096 | Hearing Instrument Specialist | 1994-04-14 ~ 1995-06-30 |
| Keith A Clack | 147 Linwood Avenue, Bridgeport, CT 06605 | Notary Public Appointment | 2004-04-23 ~ 2009-04-30 |
| Carolyn E Lau | 5 Blue Jay Way, Litchfield, NH 03052-2433 | Registered Nurse | ~ |
| Carolyn K Thompson | Po Box 808, Meriden, CT 06450 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
| Carolyn J Trumm | 24 E Wappanocca Ave., Rye, NY 10580 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
Please comment or provide details below to improve the information on CAROLYN A CLACK.
| 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).