MARK S WILSON
Licensed Practical Nurse


Address: 219 Indian Hollow R, Windham, CT 06280

MARK S WILSON (Credential# 666391) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 25, 1988. The license expiration date date is August 25, 1988. The license status is INACTIVE.

Business Overview

MARK S WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.022118. The credential type is licensed practical nurse. The effective date is May 25, 1988. The expiration date is August 25, 1988. The business address is 219 Indian Hollow R, Windham, CT 06280. The current status is inactive.

Basic Information

Licensee Name MARK S WILSON
Credential ID 666391
Credential Number 11.022118
Credential Type Licensed Practical Nurse
Business Address 219 Indian Hollow R
Windham
CT 06280
Business Type INDIVIDUAL
Status INACTIVE - REVOKED
Issue Date 1987-06-01
Effective Date 1988-05-25
Expiration Date 1988-08-25
Refresh Date 2009-07-08

Office Location

Street Address 219 INDIAN HOLLOW R
City WINDHAM
State CT
Zip Code 06280

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Competitor

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City WINDHAM
Zip Code 06280
License Type Licensed Practical 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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