STACEY R CRUMBO
Registered Nurse


Address: 3241 Pavetto Ln, Indianapolis, IN 46203-6513

STACEY R CRUMBO (Credential# 626238) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2010. The license expiration date date is July 31, 2011. The license status is INACTIVE.

Business Overview

STACEY R CRUMBO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E57332. The credential type is registered nurse. The effective date is July 27, 2010. The expiration date is July 31, 2011. The business address is 3241 Pavetto Ln, Indianapolis, IN 46203-6513. The current status is inactive.

Basic Information

Licensee Name STACEY R CRUMBO
Credential ID 626238
Credential Number 10.E57332
Credential Type Registered Nurse
Business Address 3241 Pavetto Ln
Indianapolis
IN 46203-6513
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-10-07
Effective Date 2010-07-27
Expiration Date 2011-07-31
Refresh Date 2011-11-07

Office Location

Street Address 3241 PAVETTO LN
City INDIANAPOLIS
State IN
Zip Code 46203-6513

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City INDIANAPOLIS
Zip Code 46203
License Type Registered Nurse
License Type + County Registered Nurse + INDIANAPOLIS

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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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