TINA MARIE WICKSTROM
Registered Nurse


Address: 495 Den Ln, Greenwich, CT 06831-5018

TINA MARIE WICKSTROM (Credential# 1458145) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

TINA MARIE WICKSTROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.146509. The credential type is registered nurse. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 495 Den Ln, Greenwich, CT 06831-5018. The current status is active.

Basic Information

Licensee Name TINA MARIE WICKSTROM
Credential ID 1458145
Credential Number 10.146509
Credential Type Registered Nurse
Business Address 495 Den Ln
Greenwich
CT 06831-5018
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-11-08
Effective Date 2019-11-01
Expiration Date 2020-10-31
Refresh Date 2019-10-30

Other licenses

ID Credential Code Credential Type Issue Term Status
1459932 10.146370-TEMP Registered Nurse - Temporary 2017-11-06 2017-11-06 - 2018-03-05 INACTIVE

Office Location

Street Address 495 DEN LN
City GREENWICH
State CT
Zip Code 06831-5018

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Karen L Kain 129 Cutler Rd, Greenwich, CT 06831 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City GREENWICH
Zip Code 06831
License Type Registered Nurse
License Type + County Registered Nurse + GREENWICH

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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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