MYRA C WAHLBERG
Registered Nurse


Address: P O Box 1267, Plymouth, MA 02362-1267

MYRA C WAHLBERG (Credential# 630275) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 25, 1993. The license expiration date date is October 31, 1994. The license status is INACTIVE.

Business Overview

MYRA C WAHLBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R02641. The credential type is registered nurse. The effective date is October 25, 1993. The expiration date is October 31, 1994. The business address is P O Box 1267, Plymouth, MA 02362-1267. The current status is inactive.

Basic Information

Licensee Name MYRA C WAHLBERG
Credential ID 630275
Credential Number 10.R02641
Credential Type Registered Nurse
Business Address P O Box 1267
Plymouth
MA 02362-1267
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1937-02-23
Effective Date 1993-10-25
Expiration Date 1994-10-31
Refresh Date 2009-07-08

Office Location

Street Address P O BOX 1267
City PLYMOUTH
State MA
Zip Code 02362-1267

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Camp Mattatuck 221 Mount Tobe Rd, Plymouth, CT 06782-2805 Youth Camp 2020-07-01 ~ 2021-06-30
Susan M Woina 54 Railroad Street, Plymouth, CT 06782 Respiratory Care Practitioner 2020-09-01 ~ 2021-08-31
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City PLYMOUTH
Zip Code 02362
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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