ERIN B OTTERBEIN
MARCEL


Address: 1 Dyer Lane, Cornwall, NY 12518

ERIN B OTTERBEIN (Credential# 663617) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.

Business Overview

ERIN B OTTERBEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.017675. The credential type is licensed practical nurse. The effective date is May 1, 2014. The expiration date is April 30, 2015. The business address is 1 Dyer Lane, Cornwall, NY 12518. The current status is inactive.

Basic Information

Licensee Name ERIN B OTTERBEIN
Doing Business As MARCEL
Credential ID 663617
Credential Number 11.017675
Credential Type Licensed Practical Nurse
Business Address 1 Dyer Lane
Cornwall
NY 12518
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1978-12-08
Effective Date 2014-05-01
Expiration Date 2015-04-30
Refresh Date 2015-08-05

Office Location

Street Address 1 DYER LANE
City CORNWALL
State NY
Zip Code 12518

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Christine Thames 1 Oak Tree Drive, Cincinnati, OH 12518 Registered Nurse 2019-09-03 ~ 2020-09-30
Garry G Johnson 104 Willow Avenue, Cornwall, NY 12518 Acupuncturist 2019-04-01 ~ 2021-03-31
Jennifer A. Rivera 20 Patton Drive, Cornwall, NY 12518 Registered Nurse 2016-11-01 ~ 2017-10-31
Christiane L. Kubit Md 201 Willow Ave, Cornwall, NY 12518 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Olga M Waters Pa-c 100 Beach St, Cornwall, NY 12518 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
John A Lagrutta 11 Deerfield Lane, Cornwall, NY 12518 Electrical Unlimited Contractor ~
William M Santoro P.o.box 224, Cornwall, NY 12518 Veterinarian 1997-07-21 ~ 1998-07-31
Marie E Donahue 129 Main St., Cornwall, NY 12518 Physical Therapist Assistant ~ 2006-11-01
Holly B Gigante 14 Sylcox Rd, Cornwall, NY 12518 Licensed Practical Nurse 2007-03-21 ~ 2007-12-31
Francine R Durbin 22 Marshall Drive, Cornwall, NY 12518 Licensed Practical Nurse 1981-01-01 ~ 1993-08-31
Find all Licenses in zip 12518

Competitor

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City CORNWALL
Zip Code 12518
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + CORNWALL

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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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