BEVERLY C WAGNER
Registered Nurse


Address: 594 B East Ctr St, Manchester, CT 06040

BEVERLY C WAGNER (Credential# 596654) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 28, 1996. The license expiration date date is August 31, 1997. The license status is INACTIVE.

Business Overview

BEVERLY C WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E19897. The credential type is registered nurse. The effective date is August 28, 1996. The expiration date is August 31, 1997. The business address is 594 B East Ctr St, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name BEVERLY C WAGNER
Credential ID 596654
Credential Number 10.E19897
Credential Type Registered Nurse
Business Address 594 B East Ctr St
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1953-11-24
Effective Date 1996-08-28
Expiration Date 1997-08-31
Refresh Date 2009-07-08

Office Location

Street Address 594 B EAST CTR ST
City MANCHESTER
State CT
Zip Code 06040

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Competitor

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City MANCHESTER
Zip Code 06040
License Type Registered Nurse
License Type + County Registered Nurse + MANCHESTER

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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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