MICHAEL J BLYZNIUK
Registered Nurse


Address: 9311 Marsden St, Philadelphia, PA 19114-3939

MICHAEL J BLYZNIUK (Credential# 1075427) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.

Business Overview

MICHAEL J BLYZNIUK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.108369. The credential type is registered nurse. The effective date is October 1, 2012. The expiration date is October 31, 2013. The business address is 9311 Marsden St, Philadelphia, PA 19114-3939. The current status is inactive.

Basic Information

Licensee Name MICHAEL J BLYZNIUK
Credential ID 1075427
Credential Number 10.108369
Credential Type Registered Nurse
Business Address 9311 Marsden St
Philadelphia
PA 19114-3939
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-10-01
Effective Date 2012-10-01
Expiration Date 2013-10-31
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1076725 10.105931-TEMP Registered Nurse - Temporary 2012-06-12 2012-06-12 - 2012-10-10 INACTIVE

Office Location

Street Address 9311 MARSDEN ST
City PHILADELPHIA
State PA
Zip Code 19114-3939

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City PHILADELPHIA
Zip Code 19114
License Type Registered Nurse
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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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