CHRISTA R BERTHOLD
Licensed Practical Nurse


Address: 5 Standish St, Enfield, CT 06082

CHRISTA R BERTHOLD (Credential# 661541) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2011. The license expiration date date is January 31, 2012. The license status is INACTIVE.

Business Overview

CHRISTA R BERTHOLD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.013761. The credential type is licensed practical nurse. The effective date is February 1, 2011. The expiration date is January 31, 2012. The business address is 5 Standish St, Enfield, CT 06082. The current status is inactive.

Basic Information

Licensee Name CHRISTA R BERTHOLD
Credential ID 661541
Credential Number 11.013761
Credential Type Licensed Practical Nurse
Business Address 5 Standish St
Enfield
CT 06082
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1973-12-28
Effective Date 2011-02-01
Expiration Date 2012-01-31
Refresh Date 2012-05-02

Office Location

Street Address 5 STANDISH ST
City ENFIELD
State CT
Zip Code 06082

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Competitor

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City ENFIELD
Zip Code 06082
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + ENFIELD

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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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