DIANA T CLYBURN
Licensed Practical Nurse


Address: 222 Gordon St Apt 2, Staten Island, NY 10304-1929

DIANA T CLYBURN (Credential# 1042564) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.

Business Overview

DIANA T CLYBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.036809. The credential type is licensed practical nurse. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 222 Gordon St Apt 2, Staten Island, NY 10304-1929. The current status is inactive.

Basic Information

Licensee Name DIANA T CLYBURN
Credential ID 1042564
Credential Number 11.036809
Credential Type Licensed Practical Nurse
Business Address 222 Gordon St Apt 2
Staten Island
NY 10304-1929
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-02-03
Effective Date 2012-11-01
Expiration Date 2013-10-31
Refresh Date 2014-07-24

Office Location

Street Address 222 GORDON ST APT 2
City STATEN ISLAND
State NY
Zip Code 10304-1929

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Competitor

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City STATEN ISLAND
Zip Code 10304
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + STATEN ISLAND

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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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