SUSANNA M SRB
Registered Nurse


Address: 139 Jobs Pond Rd, Portland, CT 06480

SUSANNA M SRB (Credential# 615069) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 8, 1994. The license expiration date date is November 30, 1995. The license status is INACTIVE.

Business Overview

SUSANNA M SRB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E45244. The credential type is registered nurse. The effective date is November 8, 1994. The expiration date is November 30, 1995. The business address is 139 Jobs Pond Rd, Portland, CT 06480. The current status is inactive.

Basic Information

Licensee Name SUSANNA M SRB
Credential ID 615069
Credential Number 10.E45244
Credential Type Registered Nurse
Business Address 139 Jobs Pond Rd
Portland
CT 06480
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-09-27
Effective Date 1994-11-08
Expiration Date 1995-11-30
Refresh Date 2009-07-08

Office Location

Street Address 139 JOBS POND RD
City PORTLAND
State CT
Zip Code 06480

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Competitor

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City PORTLAND
Zip Code 06480
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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