PENELOPE B BRACKLEY
Registered Nurse - Temporary


Address: 13134 Willoughby Point Dr, Fairfax, VA 22033-1428

PENELOPE B BRACKLEY (Credential# 1173831) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2013. The license expiration date date is November 6, 2013. The license status is INACTIVE.

Business Overview

PENELOPE B BRACKLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.112060-TEMP. The credential type is registered nurse - temporary. The effective date is July 10, 2013. The expiration date is November 6, 2013. The business address is 13134 Willoughby Point Dr, Fairfax, VA 22033-1428. The current status is inactive.

Basic Information

Licensee Name PENELOPE B BRACKLEY
Credential ID 1173831
Credential Number 10.112060-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 13134 Willoughby Point Dr
Fairfax
VA 22033-1428
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2013-07-10
Effective Date 2013-07-10
Expiration Date 2013-11-06
Refresh Date 2013-11-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1172659 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 13134 WILLOUGHBY POINT DR
City FAIRFAX
State VA
Zip Code 22033-1428

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Competitor

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City FAIRFAX
Zip Code 22033
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + FAIRFAX

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Penelope Rudkin 935 Silverstone Dr, Lewisville, TX 75067-6127 Registered Nurse 1996-05-28 ~ 1997-05-31
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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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