MIRA INDIRA FAJARDO
Registered Nurse - Temporary


Address: 342 E 53rd Street, Ny, NY 10022

MIRA INDIRA FAJARDO (Credential# 1459623) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is November 2, 2017. The license expiration date date is March 1, 2018. The license status is INACTIVE.

Business Overview

MIRA INDIRA FAJARDO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.146329-TEMP. The credential type is registered nurse - temporary. The effective date is November 2, 2017. The expiration date is March 1, 2018. The business address is 342 E 53rd Street, Ny, NY 10022. The current status is inactive.

Basic Information

Licensee Name MIRA INDIRA FAJARDO
Credential ID 1459623
Credential Number 10.146329-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 342 E 53rd Street
Ny
NY 10022
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2017-11-02
Effective Date 2017-11-02
Expiration Date 2018-03-01
Refresh Date 2018-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1456698 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 342 E 53rd Street
City NY
State NY
Zip Code 10022

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City NY
Zip Code 10022
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + NY

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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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