CAITLIN M CLARK
Licensed Practical Nurse


Address: 158 Lower Beverly Hls, West Springfield, MA 01089-2104

CAITLIN M CLARK (Credential# 1157183) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 3, 2013. The license expiration date date is June 30, 2014. The license status is INACTIVE.

Business Overview

CAITLIN M CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.038092. The credential type is licensed practical nurse. The effective date is June 3, 2013. The expiration date is June 30, 2014. The business address is 158 Lower Beverly Hls, West Springfield, MA 01089-2104. The current status is inactive.

Basic Information

Licensee Name CAITLIN M CLARK
Credential ID 1157183
Credential Number 11.038092
Credential Type Licensed Practical Nurse
Business Address 158 Lower Beverly Hls
West Springfield
MA 01089-2104
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-06-03
Effective Date 2013-06-03
Expiration Date 2014-06-30
Refresh Date 2014-10-10

Other licenses

ID Credential Code Credential Type Issue Term Status
1158764 11.037966-TEMP Licensed Practical Nurse - Temporary 2013-04-15 2013-04-15 - 2013-08-12 INACTIVE

Office Location

Street Address 158 LOWER BEVERLY HLS
City WEST SPRINGFIELD
State MA
Zip Code 01089-2104

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Competitor

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City WEST SPRINGFIELD
Zip Code 01089
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + WEST SPRINGFIELD

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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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