ASIA WILSON-MACK
Registered Nurse - Temporary


Address: 130 Columbia St Apt 10e, New York, NY 10002-1943

ASIA WILSON-MACK (Credential# 1619764) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is December 11, 2018. The license expiration date date is April 10, 2019. The license status is INACTIVE.

Business Overview

ASIA WILSON-MACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.156923-TEMP. The credential type is registered nurse - temporary. The effective date is December 11, 2018. The expiration date is April 10, 2019. The business address is 130 Columbia St Apt 10e, New York, NY 10002-1943. The current status is inactive.

Basic Information

Licensee Name ASIA WILSON-MACK
Credential ID 1619764
Credential Number 10.156923-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 130 Columbia St Apt 10e
New York
NY 10002-1943
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2018-12-11
Effective Date 2018-12-11
Expiration Date 2019-04-10
Refresh Date 2019-04-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1619084 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 130 COLUMBIA ST APT 10E
City NEW YORK
State NY
Zip Code 10002-1943

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City NEW YORK
Zip Code 10002
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + NEW YORK

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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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