ANNAMAY V SMITH
Registered Nurse


Address: 166 Minerva St, Derby, CT 06418

ANNAMAY V SMITH (Credential# 595115) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 11, 2001. The license expiration date date is August 31, 2009. The license status is INACTIVE.

Business Overview

ANNAMAY V SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E17045. The credential type is registered nurse. The effective date is July 11, 2001. The expiration date is August 31, 2009. The business address is 166 Minerva St, Derby, CT 06418. The current status is inactive.

Basic Information

Licensee Name ANNAMAY V SMITH
Credential ID 595115
Credential Number 10.E17045
Credential Type Registered Nurse
Business Address 166 Minerva St
Derby
CT 06418
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1948-11-23
Effective Date 2001-07-11
Expiration Date 2009-08-31
Refresh Date 2009-12-10

Office Location

Street Address 166 MINERVA ST
City DERBY
State CT
Zip Code 06418

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Phillip N Burke 3 Camptown St, Derby, CT 06418 Emergency Medical Technician 2017-06-07 ~ 2020-06-30
Diane A Rosner 229 Shagbark Drive, Derby, CT 06418 Professional Counselor 2020-08-01 ~ 2021-07-31
Pamela C Lavelle 194 Minerva St, Derby, CT 06418 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City DERBY
Zip Code 06418
License Type Registered Nurse
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Melissa A Smith-bishop · Smith Po Box 1030, Montauk, NY 11954 Registered Nurse 1992-06-25 ~ 1993-05-31
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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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