SARA F BALDAUF-WAGNER LNM
Registered Nurse


Address: 1417 Ne Thompson St Apt 1, Portland, OR 97212-4203

SARA F BALDAUF-WAGNER LNM (Credential# 588700) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2010. The license expiration date date is September 30, 2011. The license status is INACTIVE.

Business Overview

SARA F BALDAUF-WAGNER LNM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.084698. The credential type is registered nurse. The effective date is October 1, 2010. The expiration date is September 30, 2011. The business address is 1417 Ne Thompson St Apt 1, Portland, OR 97212-4203. The current status is inactive.

Basic Information

Licensee Name SARA F BALDAUF-WAGNER LNM
Credential ID 588700
Credential Number 10.084698
Credential Type Registered Nurse
Business Address 1417 Ne Thompson St Apt 1
Portland
OR 97212-4203
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-04-10
Effective Date 2010-10-01
Expiration Date 2011-09-30
Refresh Date 2012-01-04

Other licenses

ID Credential Code Credential Type Issue Term Status
886834 16.000334 Licensed Nurse Midwife 2009-07-23 2010-10-01 - 2011-09-30 INACTIVE
888629 CSP.0046135 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-08-05 2009-08-05 - 2011-02-28 INACTIVE

Office Location

Street Address 1417 NE THOMPSON ST APT 1
City PORTLAND
State OR
Zip Code 97212-4203

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Mary Jepson 3826 Ne 10th Ave, Portland, OR 97212-1219 Controlled Substance Registration for Practitioner 2013-08-28 ~ 2015-02-28
Myriam M Rodriguez Torres 4046 Ne 16th Ave, Portland, OR 97212-1331 Professional Engineer 2013-03-03 ~ 2014-01-31
David H Smith 3111 Ne Shaver St, Portland, OR 97212-1746 Pharmacist 2014-02-24 ~ 2016-01-31
David Sheerin 2015 Ne 38th Ave, Portland, OR 97212-5223 Architect 2019-08-06 ~ 2020-07-31

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Gui Jiang Sunny�s Nail&spa, Portland, CT 06480 Nail Technician 2020-06-26 ~ 2021-12-31
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Angela R Aresco 102 Rose Hill Rd, Portland, CT 06480-1217 Real Estate Salesperson 2020-06-24 ~ 2021-05-31
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Competitor

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City PORTLAND
Zip Code 97212
License Type Registered Nurse
License Type + County Registered Nurse + PORTLAND

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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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