JOSE MARVIN H STA. ANA
Registered Nurse


Address: 714 Jacobs Ln, Newington, CT 06111-8200

JOSE MARVIN H STA. ANA (Credential# 652127) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2011. The license expiration date date is June 30, 2012. The license status is INACTIVE.

Business Overview

JOSE MARVIN H STA. ANA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R52381. The credential type is registered nurse. The effective date is July 1, 2011. The expiration date is June 30, 2012. The business address is 714 Jacobs Ln, Newington, CT 06111-8200. The current status is inactive.

Basic Information

Licensee Name JOSE MARVIN H STA. ANA
Credential ID 652127
Credential Number 10.R52381
Credential Type Registered Nurse
Business Address 714 Jacobs Ln
Newington
CT 06111-8200
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-03-01
Effective Date 2011-07-01
Expiration Date 2012-06-30
Refresh Date 2012-10-05

Office Location

Street Address 714 JACOBS LN
City NEWINGTON
State CT
Zip Code 06111-8200

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Matthew F Stranko 711 Jacobs Ln, Newington, CT 06111-8200 Physical Therapist 2011-11-01 ~ 2012-10-31

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City NEWINGTON
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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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