JENNIFER L EZZELL
Licensed Practical Nurse


Address: 92 Sullivan Road, Lisbon, CT 06351

JENNIFER L EZZELL (Credential# 667627) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 14, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.

Business Overview

JENNIFER L EZZELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.023697. The credential type is licensed practical nurse. The effective date is December 14, 2004. The expiration date is September 30, 2005. The business address is 92 Sullivan Road, Lisbon, CT 06351. The current status is inactive.

Basic Information

Licensee Name JENNIFER L EZZELL
Credential ID 667627
Credential Number 11.023697
Credential Type Licensed Practical Nurse
Business Address 92 Sullivan Road
Lisbon
CT 06351
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-06-01
Effective Date 2004-12-14
Expiration Date 2005-09-30
Refresh Date 2009-07-08

Office Location

Street Address 92 SULLIVAN ROAD
City Lisbon
State CT
Zip Code 06351

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Competitor

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City Lisbon
Zip Code 06351
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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