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Applicant Background
Information
Personal Information
Last: DiLeonardo First: Daphne Middle: Elizabeth
SSN: 290643305 DOB: 11/13/1958
Email: *************@*****.***
Other: 912-***-****
Other: 912-***-****
Other: 912-***-****
Other: Yes
Other: 912-***-****
Client ID: UHSI01 Client Name: Universal Health Services Gender: F
Address History
Present Address:
338 Bridgewater Drive
Savannah, GA 31419, US
Reported From: 06/2015 Reported To:
MVR
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Employment
Company: Memorial hospital
Phone: 912-***-****
Address: 4700 waters ave
Savannah, GA 31404
Supervisor: Job Title: Rn surgical care unit
Hire Date: 10/2019 Separation Date: 03/2021
Final Salary:
Reason for Leaving: Resigned
Is this your current employment: No
May we contact this company: Yes
Is this military enlistment?: No
Subject ID: 31820777 Page: 1
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Employment
Company: Landmark hospital
Phone:
Address: 800 e 68 street
Savannah, GA 31405
Supervisor: Job Title: Charge Nurse
Hire Date: 09/2020 Separation Date:
Final Salary:
Reason for Leaving:
Is this your current employment: Yes
May we contact this company: No
Is this military enlistment?: No
Company: MANOR CARE
Phone: 440-***-****
Address: 27500 mill road
North Olmsted, OH 44070
Supervisor: Job Title: Supervisor
Hire Date: 01/1997 Separation Date: 06/2001
Final Salary:
Reason for Leaving: Relocation
Is this your current employment: No
May we contact this company: Yes
Is this military enlistment?: No
Company: Lakewood hospital
Phone: 216-***-****
Address: 14601 Detroit ave
Cleveland, OH 44107
Supervisor: Job Title: Licensed Practical Nurse
Subject ID: 31820777 Page: 2
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Applicant Background
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Employment
Hire Date: 03/1990 Separation Date: 08/2003
Final Salary:
Reason for Leaving: Relocation
Is this your current employment: No
May we contact this company: Yes
Is this military enlistment?: No
Company: AtlAnta medical center
Phone: 777-***-****
Address: 49 Jesse hill jr drive
Atlanta, GA 30303
Supervisor: Job Title: PACU RN
Hire Date: 05/2015 Separation Date: 04/2017
Final Salary:
Reason for Leaving: Contract Expired
Is this your current employment: No
May we contact this company: Yes
Is this military enlistment?: No
Company: ST JOESPHS HOSPITAL
Phone: 912-***-****
Address: 5353 Reynolds street
Savannah, GA 31405
Supervisor: Job Title: RN internal agency
Hire Date: 06/2018 Separation Date: 04/2020
Final Salary:
Reason for Leaving: Contract Expired
Is this your current employment: No
May we contact this company: Yes
Is this military enlistment?: No
Subject ID: 31820777 Page: 3
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Applicant Background
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Employment
Company: Piedmont Mountainside Hospital
Phone: 229-***-****
Address: 1266 hwy 515
Jasper, GA 30143
Supervisor: Job Title: Float nurse
Hire Date: 01/2012 Separation Date: 09/2016
Final Salary:
Reason for Leaving: Temporary Assignment
Is this your current employment: No
May we contact this company: Yes
Is this military enlistment?: No
Education/Training
School Name: Excelsior College
School Type: College/University
Course of Study / Major: C38293NursingNursing Minor: Address:
Albany, NY US
Start Date: 02/1998 End Date: 02/2003
Degree/Diploma Earned: Yes Degree Type: Associate Degree Degree Date: 02/2003
GPA: GPA Scale:
Professional Credentials
Credential: Rn staff
License#:
Date Issued: 02/2003
Authority: Georgia
Subject ID: 31820777 Page: 4
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Criminal History Disclosures
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References
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Subject ID: 31820777 Page: 5