BERTHA K MAMBWE
Registered Nurse


Address: 342 Derby Ave Fl 1f, Derby, CT 06418-2014

BERTHA K MAMBWE (Credential# 1005284) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.

Business Overview

BERTHA K MAMBWE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.103506. The credential type is registered nurse. The effective date is July 1, 2016. The expiration date is April 30, 2017. The business address is 342 Derby Ave Fl 1f, Derby, CT 06418-2014. The current status is inactive.

Basic Information

Licensee Name BERTHA K MAMBWE
Credential ID 1005284
Credential Number 10.103506
Credential Type Registered Nurse
Business Address 342 Derby Ave Fl 1f
Derby
CT 06418-2014
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-12-13
Effective Date 2016-07-01
Expiration Date 2017-04-30
Refresh Date 2017-08-03

Other licenses

ID Credential Code Credential Type Issue Term Status
676383 11.032582 Licensed Practical Nurse 2007-04-19 2011-07-01 - 2012-06-30 INACTIVE

Office Location

Street Address 342 DERBY AVE FL 1F
City DERBY
State CT
Zip Code 06418-2014

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Competitor

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City DERBY
Zip Code 06418
License Type Registered Nurse
License Type + County Registered Nurse + DERBY

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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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