CARLY ANNE MALMBERG (Credential# 1415285) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
CARLY ANNE MALMBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10. The credential type is registered nurse. The business address is Po Box 66, Fawnskin, CA 92333. The current status is expired application.
Licensee Name | CARLY ANNE MALMBERG |
Credential ID | 1415285 |
Credential Number | 10 |
Credential Type | Registered Nurse |
Business Address |
Po Box 66 Fawnskin CA 92333 |
Business Type | INDIVIDUAL |
Status | EXPIRED APPLICATION - EXPIRED APPLICATION |
Refresh Date | 2020-02-12 |
Street Address | PO BOX 66 |
City | FAWNSKIN |
State | CA |
Zip Code | 92333 |
City | FAWNSKIN |
Zip Code | 92333 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + FAWNSKIN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carly Anne Mardin | 29 Ledgewood Dr, Brookfield, CT 06804-3420 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Carly Anne Childs | 1308 Wayne Ct, Alameda, CA 94501-4618 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary A Malmberg | 18 Barn Circle, Portland, CT 06480 | Registered Nurse | 2005-06-06 ~ 2006-07-31 |
Carly Detterman | P. O Box 593, Monterey, MA 01245 | Registered Nurse | 2008-01-29 ~ 2009-02-28 |
Carly Ann Hoskins | 555 Totts Gap Rd, Bangor, PA 18013-5458 | Registered Nurse | 2020-01-21 ~ 2020-11-30 |
Carly A Koerner | 24 Bliss Rd, Longmeadow, MA 01106-1420 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Carly Rae Zupnick | 212 E 47th St Apt 11h, New York, NY 10017-2123 | Registered Nurse | 2019-12-10 ~ 2020-06-30 |
Carly A Shamkin | 11 Barton St, Millerton, NY 12546 | Registered Nurse | 2008-06-16 ~ 2009-08-31 |
Carly Bruno | 515 West Ave, Norwalk, CT 06850 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Carly S Goodell | 528 N Parish Rd, Turner, ME 04282 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
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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).