LAUREN H PROKOP-BERGEMANN
Registered Nurse


Address: 164 Mill Plain Road, Branford, CT 06405

LAUREN H PROKOP-BERGEMANN (Credential# 616706) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 22, 1997. The license expiration date date is March 4, 1998. The license status is INACTIVE.

Business Overview

LAUREN H PROKOP-BERGEMANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E47131. The credential type is registered nurse. The effective date is September 22, 1997. The expiration date is March 4, 1998. The business address is 164 Mill Plain Road, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name LAUREN H PROKOP-BERGEMANN
Credential ID 616706
Credential Number 10.E47131
Credential Type Registered Nurse
Business Address 164 Mill Plain Road
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - REVOKED
Issue Date 1984-08-30
Effective Date 1997-09-22
Expiration Date 1998-03-04
Refresh Date 2009-07-08

Office Location

Street Address 164 MILL PLAIN ROAD
City BRANFORD
State CT
Zip Code 06405

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Competitor

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City BRANFORD
Zip Code 06405
License Type Registered Nurse
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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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