MARY F BENZA-HEAGLE
Registered Nurse


Address: 3410 Beverly St, Mohegan Lake, NY 10547

MARY F BENZA-HEAGLE (Credential# 643411) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 17, 1995. The license expiration date date is April 30, 1996. The license status is INACTIVE.

Business Overview

MARY F BENZA-HEAGLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R41271. The credential type is registered nurse. The effective date is May 17, 1995. The expiration date is April 30, 1996. The business address is 3410 Beverly St, Mohegan Lake, NY 10547. The current status is inactive.

Basic Information

Licensee Name MARY F BENZA-HEAGLE
Credential ID 643411
Credential Number 10.R41271
Credential Type Registered Nurse
Business Address 3410 Beverly St
Mohegan Lake
NY 10547
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-05-01
Effective Date 1995-05-17
Expiration Date 1996-04-30
Refresh Date 2009-07-08

Office Location

Street Address 3410 BEVERLY ST
City MOHEGAN LAKE
State NY
Zip Code 10547

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Nicole Cristofaro 3713 Marcy St, Mohegan Lake, NY 10547 Tax Preparer/facilitator Permit 2020-02-14 ~ 2022-02-28
Ramanjit S Dhanoa 1332 Judy Rd, Mohegan Lake, NY 10547 Real Estate Broker 2020-04-01 ~ 2021-03-31
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Nichole Michelle Riehm 1498 Dover Street, Mohegan Lake, NY 10547 Registered Nurse 2020-02-01 ~ 2021-01-31
Donald M Campbell 1427 Inspiration Road, Mohegan Lake, NY 10547 Pharmacist 2020-02-01 ~ 2022-01-31
Swati Sreedharan 2923 Lexington Ave, Mohegan Lake, NY 10547 Physical Therapist 2020-01-01 ~ 2020-12-31
Jennifer A Cusano 1437 Delawre Rd, Mohegan Lake, NY 10547 Notary Public Appointment 2019-02-01 ~ 2024-02-29
Katie Anne Fernandez 2665 Deer Street, Mohegan Lake, NY 10547 Notary Public Appointment 2014-04-10 ~ 2019-04-30
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Competitor

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City MOHEGAN LAKE
Zip Code 10547
License Type Registered Nurse
License Type + County Registered Nurse + MOHEGAN LAKE

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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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