VINCENT J VIVIAN
Licensed Practical Nurse


Address: 44 Liberty Hall Rd, Fairfield, PA 17320-9228

VINCENT J VIVIAN (Credential# 1058304) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 27, 2012. The license expiration date date is March 31, 1987. The license status is INACTIVE.

Business Overview

VINCENT J VIVIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.016014. The credential type is licensed practical nurse. The effective date is March 27, 2012. The expiration date is March 31, 1987. The business address is 44 Liberty Hall Rd, Fairfield, PA 17320-9228. The current status is inactive.

Basic Information

Licensee Name VINCENT J VIVIAN
Credential ID 1058304
Credential Number 11.016014
Credential Type Licensed Practical Nurse
Business Address 44 Liberty Hall Rd
Fairfield
PA 17320-9228
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1976-05-19
Effective Date 2012-03-27
Expiration Date 1987-03-31
Refresh Date 2012-03-27

Office Location

Street Address 44 LIBERTY HALL RD
City FAIRFIELD
State PA
Zip Code 17320-9228

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Theresa M Reilly 3465 Bullfrog Road, Fairfield, PA 17320 Registered Nurse 1999-07-02 ~ 2000-06-30
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Competitor

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City FAIRFIELD
Zip Code 17320
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + FAIRFIELD

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Vivian Walker 132 Pitt Street, Bridgeport, CT 06606 Licensed Practical Nurse 2001-05-21 ~ 2002-05-31
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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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