MARYANN M DEFAZIO
Registered Nurse


Address: 328 Nepas Rd, Fairfield, CT 06825

MARYANN M DEFAZIO (Credential# 612889) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.

Business Overview

MARYANN M DEFAZIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E42686. The credential type is registered nurse. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 328 Nepas Rd, Fairfield, CT 06825. The current status is inactive.

Basic Information

Licensee Name MARYANN M DEFAZIO
Credential ID 612889
Credential Number 10.E42686
Credential Type Registered Nurse
Business Address 328 Nepas Rd
Fairfield
CT 06825
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1980-09-15
Effective Date 2014-07-01
Expiration Date 2015-06-30
Refresh Date 2015-10-03

Office Location

Street Address 328 NEPAS RD
City FAIRFIELD
State CT
Zip Code 06825

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Competitor

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City FAIRFIELD
Zip Code 06825
License Type Registered Nurse
License Type + County Registered Nurse + FAIRFIELD

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Maryann B Fox 11 Citation Dr, Latham, NY 12110-1951 Registered Nurse 2017-09-01 ~ 2018-08-31
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Maryann A Sedlack 108 Congress St, Belfast, ME 04915-6147 Registered Nurse 2016-08-01 ~ 2017-07-31
Maryann E Milleville 8 Pheasant Dr, New Fairfield, CT 06812 Registered Nurse 2020-04-01 ~ 2021-03-31
Maryann M Goe Ludlow Woods Rd, Stanfordville, NY 12581 Registered Nurse 1996-07-15 ~ 1997-09-30
Maryann K Bello 410 Guardsman Ct, Alpharetta, GA 30202 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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