BEVERLY E POLJACIK
Registered Nurse


Address: P O Box 827, Wilder, VT 05088

BEVERLY E POLJACIK (Credential# 620220) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 19, 1995. The license expiration date date is March 31, 1996. The license status is INACTIVE.

Business Overview

BEVERLY E POLJACIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E51123. The credential type is registered nurse. The effective date is June 19, 1995. The expiration date is March 31, 1996. The business address is P O Box 827, Wilder, VT 05088. The current status is inactive.

Basic Information

Licensee Name BEVERLY E POLJACIK
Credential ID 620220
Credential Number 10.E51123
Credential Type Registered Nurse
Business Address P O Box 827
Wilder
VT 05088
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-09-01
Effective Date 1995-06-19
Expiration Date 1996-03-31
Refresh Date 2009-07-08

Office Location

Street Address P O BOX 827
City WILDER
State VT
Zip Code 05088

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Joann L Brauer 1556 Hartford Avenue, Wilder, VT 05088 Pharmacist 2005-02-01 ~ 2006-01-31
Eileen R Kenny Po Box 1131, Wilder, VT 05088 Hairdresser/cosmetician 2007-02-28 ~ 2008-06-30

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Richard A Moore 310 Timber Ridge Dr Unit 11, Wilder, KY 41071-3364 Fire Protection Unlimited Journeyperson ~
Svetlana Lvovich 1318 Aspen Pines Drive, Wilder, KY 41071 Physician/surgeon 2004-08-23 ~ 2005-08-31
Paige L Mel · Gonska 3 Trailridge Lane, Wilder, KY 41076 Licensed Practical Nurse 1997-09-11 ~ 1998-09-30

Competitor

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City WILDER
Zip Code 05088
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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