CRYSTAL R BLACK
Registered Nurse


Address: 8 Old Farm Rd, Groton, CT 06340

CRYSTAL R BLACK (Credential# 1263411) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

CRYSTAL R BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.125098. The credential type is registered nurse. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 8 Old Farm Rd, Groton, CT 06340. The current status is active.

Basic Information

Licensee Name CRYSTAL R BLACK
Credential ID 1263411
Credential Number 10.125098
Credential Type Registered Nurse
Business Address 8 Old Farm Rd
Groton
CT 06340
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-03-03
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-08-02

Office Location

Street Address 8 old farm rd
City groton
State CT
Zip Code 06340

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Swatiben R. Patel 81 Charlton Lane, Groton, CT 06340 Pharmacy Technician 2020-06-26 ~ 2021-03-31
Susan E Mammone 39 Chestnut Hill Sq, Groton, CT 06340 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Jennifer L Lundie 302b Meridian Street, Groton, CT 06340 Registered Nurse 2020-08-01 ~ 2021-07-31
Jennifer Gauthier 55 Fieldside Drive # B, Groton, CT 06340 Master's Level Social Worker - Temporary Permit ~
Anthony Di Lullo Md Thameside Ob/gyn Centre, Groton, CT 06340 Physician/surgeon 2020-08-01 ~ 2021-07-31
Carrien Williams 186 Mirra Dr, Groton, CT 06340 Nail Technician ~
Mustapha Kemal Md 61 Leeward Lane, Groton, CT 06340 Physician/surgeon 2020-07-01 ~ 2021-06-30
Subway #309 967 Poquonnock Rd, Groton, CT 06340 Bakery 2020-07-01 ~ 2021-06-30
Kathlene M Hunt 75 Pleasant Street, Groton, CT 06340 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Paul A Morosky 2 Cross Street, Groton, CT 06340 Distribution System Operator - Class I 2020-04-01 ~ 2023-03-31
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Competitor

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City groton
Zip Code 06340
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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