JUDITH GUSTAFSON
Registered Nurse


Address: 357 Robin Road, Waverly, OH 45690

JUDITH GUSTAFSON (Credential# 600953) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 18, 2005. The license expiration date date is October 31, 2006. The license status is INACTIVE.

Business Overview

JUDITH GUSTAFSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E26581. The credential type is registered nurse. The effective date is August 18, 2005. The expiration date is October 31, 2006. The business address is 357 Robin Road, Waverly, OH 45690. The current status is inactive.

Basic Information

Licensee Name JUDITH GUSTAFSON
Credential ID 600953
Credential Number 10.E26581
Credential Type Registered Nurse
Business Address 357 Robin Road
Waverly
OH 45690
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1962-11-15
Effective Date 2005-08-18
Expiration Date 2006-10-31
Refresh Date 2009-07-08

Office Location

Street Address 357 Robin Road
City Waverly
State OH
Zip Code 45690

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Neville L Trimble · Martin-marietta Enrgy Sys. 215 E. 5th St., Waverly, OH 45690 Professional Engineer 1988-01-25 ~ 1989-01-31
Krystal M Disantis 933 Willett Rd, Waverly, OH 45690-9177 Registered Nurse 2018-02-01 ~ 2019-01-31

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Competitor

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City Waverly
Zip Code 45690
License Type Registered Nurse
License Type + County Registered Nurse + Waverly

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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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