EDWIN A LUTTERODT-AZU
Registered Nurse


Address: 30 Stefaniak Ave, Webster, MA 01570-2032

EDWIN A LUTTERODT-AZU (Credential# 583458) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is EXPIRED APPLICATION.

Business Overview

EDWIN A LUTTERODT-AZU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.079456. The credential type is registered nurse. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 30 Stefaniak Ave, Webster, MA 01570-2032. The current status is expired application.

Basic Information

Licensee Name EDWIN A LUTTERODT-AZU
Credential ID 583458
Credential Number 10.079456
Credential Type Registered Nurse
Business Address 30 Stefaniak Ave
Webster
MA 01570-2032
Business Type INDIVIDUAL
Status EXPIRED APPLICATION - EXPIRED APPLICATION
Issue Date 2006-08-01
Effective Date 2012-06-01
Expiration Date 2013-05-31
Refresh Date 2019-05-07

Office Location

Street Address 30 STEFANIAK AVE
City WEBSTER
State MA
Zip Code 01570-2032

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Elaine M Ziemba 18 Stoughton Ave, Webster, MA 01570 Registered Nurse 2020-09-01 ~ 2021-08-31
Robert L Mason P.o. Box 791, Webster, MA 01570 Sub-surface Sewage Installer 2020-07-01 ~ 2021-06-30
Sally M Ceppetelli · Lomme 8 B Deerfield Dr West, Webster, MA 01570 Registered Nurse 2020-06-01 ~ 2021-05-31
Robin J Korch 808 Beacon Park, Webster, MA 01570 Registered Nurse 2020-06-01 ~ 2021-05-31
Patricia A Mclaughlin 31 Third St, Webster, MA 01570 Registered Nurse 2020-07-01 ~ 2021-06-30
Crystal Leigh Simonson 304 Treasure Island Road, Webster, MA 01570 Notary Public Appointment 2015-04-02 ~ 2020-04-30
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Competitor

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City WEBSTER
Zip Code 01570
License Type Registered Nurse
License Type + County Registered Nurse + WEBSTER

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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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