JACQUELINE T TIERNAN
Registered Nurse


Address: 13311 Pt Pleasant Dr, Fairfax, VA 22033

JACQUELINE T TIERNAN (Credential# 648401) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 11, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.

Business Overview

JACQUELINE T TIERNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R48652. The credential type is registered nurse. The effective date is April 11, 1996. The expiration date is June 30, 1997. The business address is 13311 Pt Pleasant Dr, Fairfax, VA 22033. The current status is inactive.

Basic Information

Licensee Name JACQUELINE T TIERNAN
Credential ID 648401
Credential Number 10.R48652
Credential Type Registered Nurse
Business Address 13311 Pt Pleasant Dr
Fairfax
VA 22033
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-02-01
Effective Date 1996-04-11
Expiration Date 1997-06-30
Refresh Date 2009-07-08

Office Location

Street Address 13311 PT PLEASANT DR
City FAIRFAX
State VA
Zip Code 22033

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City FAIRFAX
Zip Code 22033
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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