MARIKO ODHNER
Advanced Practice Registered Nurse


Address: 325 Main St # 2, Medford, MA 02155-6152

MARIKO ODHNER (Credential# 1038331) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.

Business Overview

MARIKO ODHNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.004856. The credential type is advanced practice registered nurse. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 325 Main St # 2, Medford, MA 02155-6152. The current status is inactive.

Basic Information

Licensee Name MARIKO ODHNER
Credential ID 1038331
Credential Number 12.004856
Credential Type Advanced Practice Registered Nurse
Business Address 325 Main St # 2
Medford
MA 02155-6152
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-10-25
Effective Date 2016-09-01
Expiration Date 2017-08-31
Refresh Date 2017-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1005273 10.101866 Registered Nurse 2011-08-24 2016-09-01 - 2017-08-31 INACTIVE
1040493 CSP.0051639 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-11-15 2013-03-01 - 2015-02-28 INACTIVE
1005277 10.100574-TEMP Registered Nurse - Temporary 2011-07-01 2011-07-01 - 2011-10-29 INACTIVE

Office Location

Street Address 325 MAIN ST # 2
City MEDFORD
State MA
Zip Code 02155-6152

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Competitor

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City MEDFORD
Zip Code 02155
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + MEDFORD

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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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