IMOGENE E BRAGG
Registered Nurse


Address: 3540 E. Helena Drive, Phoenix, AZ 85032

IMOGENE E BRAGG (Credential# 585755) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 2, 2009. The license expiration date date is January 31, 2010. The license status is INACTIVE.

Business Overview

IMOGENE E BRAGG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.081753. The credential type is registered nurse. The effective date is February 2, 2009. The expiration date is January 31, 2010. The business address is 3540 E. Helena Drive, Phoenix, AZ 85032. The current status is inactive.

Basic Information

Licensee Name IMOGENE E BRAGG
Credential ID 585755
Credential Number 10.081753
Credential Type Registered Nurse
Business Address 3540 E. Helena Drive
Phoenix
AZ 85032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-05-29
Effective Date 2009-02-02
Expiration Date 2010-01-31
Refresh Date 2010-05-25

Office Location

Street Address 3540 E. Helena Drive
City Phoenix
State AZ
Zip Code 85032

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Krista A Evans 16020 N 47th Pl, Phoenix, AZ 85032 Pharmacist 2020-02-01 ~ 2022-01-31
Mary Lisa Neidich 2941 E Willow Ave, Pheonix, AZ 85032 Registered Nurse 2018-10-11 ~ 2019-08-31
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
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Competitor

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City Phoenix
Zip Code 85032
License Type Registered Nurse
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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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