DERYTH JACOBS
Registered Nurse


Address: 64 Deforest Dr, North Branford, CT 06471

DERYTH JACOBS (Credential# 634240) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 21, 1998. The license expiration date date is August 31, 1999. The license status is INACTIVE.

Business Overview

DERYTH JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R21712. The credential type is registered nurse. The effective date is July 21, 1998. The expiration date is August 31, 1999. The business address is 64 Deforest Dr, North Branford, CT 06471. The current status is inactive.

Basic Information

Licensee Name DERYTH JACOBS
Credential ID 634240
Credential Number 10.R21712
Credential Type Registered Nurse
Business Address 64 Deforest Dr
North Branford
CT 06471
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1969-12-29
Effective Date 1998-07-21
Expiration Date 1999-08-31
Refresh Date 2009-07-08

Office Location

Street Address 64 DEFOREST DR
City NORTH BRANFORD
State CT
Zip Code 06471

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Competitor

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City NORTH BRANFORD
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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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