ANDREA JACKSON
Registered Nurse


Address: 9 Beaman Brk, Bloomfield, CT 06002-4001

ANDREA JACKSON (Credential# 574097) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.

Business Overview

ANDREA JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.070090. The credential type is registered nurse. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 9 Beaman Brk, Bloomfield, CT 06002-4001. The current status is inactive.

Basic Information

Licensee Name ANDREA JACKSON
Credential ID 574097
Credential Number 10.070090
Credential Type Registered Nurse
Business Address 9 Beaman Brk
Bloomfield
CT 06002-4001
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 2002-10-22
Effective Date 2012-08-01
Expiration Date 2013-07-31
Refresh Date 2013-11-06

Office Location

Street Address 9 BEAMAN BRK
City BLOOMFIELD
State CT
Zip Code 06002-4001

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Competitor

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City BLOOMFIELD
Zip Code 06002
License Type Registered Nurse
License Type + County Registered Nurse + BLOOMFIELD

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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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