NATALIA T BLACK
Registered Nurse


Address: 138 Division Ave, Shelton, CT 06484-3304

NATALIA T BLACK (Credential# 1039631) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 3, 2012. The license expiration date date is October 31, 2012. The license status is INACTIVE.

Business Overview

NATALIA T BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.104234. The credential type is registered nurse. The effective date is February 3, 2012. The expiration date is October 31, 2012. The business address is 138 Division Ave, Shelton, CT 06484-3304. The current status is inactive.

Basic Information

Licensee Name NATALIA T BLACK
Credential ID 1039631
Credential Number 10.104234
Credential Type Registered Nurse
Business Address 138 Division Ave
Shelton
CT 06484-3304
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-02-03
Effective Date 2012-02-03
Expiration Date 2012-10-31
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1040127 10.103053-TEMP Registered Nurse - Temporary 2011-11-03 2011-11-03 - 2012-03-02 INACTIVE

Office Location

Street Address 138 DIVISION AVE
City SHELTON
State CT
Zip Code 06484-3304

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Tara L Grey 140 Division Ave, Shelton, CT 06484-3304 Registered Nurse 2020-07-01 ~ 2021-06-30
Richard Graswald · Northeastern Decorative Concrete 140 Division Ave, Shelton, CT 06484-3304 Home Improvement Contractor 2009-05-06 ~ 2009-11-30

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Competitor

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City SHELTON
Zip Code 06484
License Type Registered Nurse
License Type + County Registered Nurse + SHELTON

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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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