MARY LISA NEIDICH
Registered Nurse


Address: 2941 E Willow Ave, Pheonix, AZ 85032

MARY LISA NEIDICH (Credential# 1508511) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 11, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.

Business Overview

MARY LISA NEIDICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.155103. The credential type is registered nurse. The effective date is October 11, 2018. The expiration date is August 31, 2019. The business address is 2941 E Willow Ave, Pheonix, AZ 85032. The current status is inactive.

Basic Information

Licensee Name MARY LISA NEIDICH
Credential ID 1508511
Credential Number 10.155103
Credential Type Registered Nurse
Business Address 2941 E Willow Ave
Pheonix
AZ 85032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2018-10-11
Effective Date 2018-10-11
Expiration Date 2019-08-31
Refresh Date 2019-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1508761 10.149922-TEMP Registered Nurse - Temporary 2018-04-24 2018-04-24 - 2018-08-21 INACTIVE

Office Location

Street Address 2941 E Willow Ave
City Pheonix
State AZ
Zip Code 85032

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Nick C King 2820 E. Acoma Dr, Phoenix, AZ 85032 Professional Engineer 2020-06-16 ~ 2021-01-31
Xiamen Bassington Garment Co Ltd 13835 N. Tatum Blvd, Phoenix, AZ 85032 Manufacturer of Bedding & Upholstered Furniture 2019-05-10 ~ 2020-04-30
Amalie Dimiceli 15240 N 44th Pl, Phoenix, AZ 85032 Veterinarian 2020-05-01 ~ 2021-04-30
Krista A Evans 16020 N 47th Pl, Phoenix, AZ 85032 Pharmacist 2020-02-01 ~ 2022-01-31
Patricia E Williams 3702 E Dahlia Drive, Phoenix, AZ 85032 Registered Nurse 2018-09-01 ~ 2019-08-31
Joshua A Ward 3711 E Gelding Dr, Phoenix, AZ 85032 Electrical Unlimited Journeyperson 2018-10-01 ~ 2019-09-30
Paul H Masse 14814 N. 28th Place, Phoenix, AZ 85032 Architect 2014-09-09 ~ 2015-07-31
Cynthia E Kaufman · Rochette 2929 E Redfield Road, Phoenix, AZ 85032 Registered Nurse 2013-08-01 ~ 2014-07-31
Kenda J Wallace · Wallace 4356 E Winchcomb Drive, Phoenix, AZ 85032 Registered Nurse 2013-04-01 ~ 2014-03-31
Shauna R Walbourn 4741 East Kathleen Road, Phoenix, AZ 85032 Registered Nurse 2010-03-01 ~ 2011-02-28
Find all Licenses in zip 85032

Competitor

Search similar business entities

City Pheonix
Zip Code 85032
License Type Registered Nurse
License Type + County Registered Nurse + Pheonix

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Lisa Cassidy 255 Primera Blvd Ste 400, Lake Mary, FL 32746-2162 Registered Nurse - Temporary 2017-01-31 ~ 2017-05-30
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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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